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MAYRA PEREZ GONZALEZ
NPI 1215286950
Social Worker - Clinical in San Pedro, CA

Active since September 07, 2012PECOS EnrolledAccepts Medicare Assignment
593 W 6TH ST, SAN PEDRO, CA 90731(310) 547-0202 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2025, Jun 9, 2025, Apr 10, 2025 (3 updates tracked since 2025).

About Mayra Perez Gonzalez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYRA PEREZ GONZALEZ (NPI 1215286950) is an individual clinical provider in San Pedro, California, licensed in California (95088) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1215286950
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMAYRA PEREZ GONZALEZ
Location Address593 W 6TH STSan Pedro, CA 90731-2521
Mailing Address593 W 6th StSan Pedro, CA 90731-2521 · (310) 547-0202
Phone(310) 547-0202
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 7, 2012
Last NPPES UpdateJune 19, 20253 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1215286950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 95088
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
593 W 6TH ST, San Pedro, CA 90731
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mayra Perez Gonzalez 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.

PECOS PAC ID3779927397
PECOS Enrollment IDI20240221004163
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90731 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN BAPTIST RUSSO M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
KARLA BERENICE GUZMAN ALBA ASW132718
Social Worker (Clinical)
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
CRISTHIAM ALFREDO SANTOS PA-C
Physician Assistant
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
REESE PRESCOTT ISAACSON
Internal Medicine
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
EVELYN MARCIA DESSER RN, MN, FNP-BC
Nurse Practitioner (Family)
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
OLUWAFEMISAYO A AKINNAGBE MD
Family Medicine
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
CALEB MATTHEW LUSK MD
Family Medicine (Addiction Medicine)
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
NATALIE MARIE RODRIGUEZ N.P
Nurse Practitioner (Adult Health)
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202

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 Perez Gonzalez's NPI number?

The NPI number for Mayra Perez Gonzalez is 1215286950. It was assigned to this individual provider in the NPPES registry on September 7, 2012.

Where is Mayra Perez Gonzalez located?

Mayra Perez Gonzalez practices at 593 W 6th St, San Pedro, CA 90731. The listed phone number is (310) 547-0202.

What is Mayra Perez Gonzalez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mayra Perez Gonzalez enrolled in Medicare?

Yes. Mayra Perez Gonzalez 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.

When was this NPI record last updated?

The NPPES record for Mayra Perez Gonzalez was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.