MAYRA MELGOZA
NPI 1003586835
Social Worker - Clinical in Los Angeles, CA
About Mayra Melgoza NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAYRA MELGOZA (NPI 1003586835) is an individual clinical provider in Los Angeles, California, licensed in California (125354) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mayra Melgoza is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mayra Melgoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Riverside, CA 92505
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mayra Melgoza's NPI number?
The NPI number for Mayra Melgoza is 1003586835. It was assigned to this individual provider in the NPPES registry on September 14, 2021.
Where is Mayra Melgoza located?
Mayra Melgoza practices at 840 N Avenue 66, Los Angeles, CA 90042. The listed phone number is (626) 395-7100.
What is Mayra Melgoza's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Mayra Melgoza enrolled in Medicare?
Yes. Mayra Melgoza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mayra Melgoza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mayra Melgoza reassigns Medicare benefits to Victoria Community Counseling Licensed Clinical Social Worker Co (Riverside, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mayra Melgoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mayra Melgoza was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mayra Melgoza · NPI 1003586835
Clinical provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since September 14, 2021.
## Identity
- **NPI:** 1003586835 (Entity type: Individual)
- **Enumerated:** September 14, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 125354 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 840 N AVENUE 66, Los Angeles, CA 90042-1508
- **Phone:** (626) 395-7100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Victoria Community Counseling Licensed Clinical Social Worker Co (NPI 1396432951, Riverside, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** April 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1003586835) · Data from the CMS NPPES public registry.