Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mayra Melgoza

Individual provider Clinical Social Worker · NPI 1003586835

Mayra Melgoza is a Marriage and Family Therapist in Los Angeles, California. Qualified in 2018, 8 years ago. Practices with Victoria Community Counseling Licensed Clinical Social Worker Co, a 3-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

840 N Avenue 66
Los Angeles, CA 90042-1508
Phone: (626) 395-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 835 Highland Springs Ave Ste 210, Beaumont, CA 92223-5771 — (626) 395-7100
  • 4187 Flat Rock Dr Ste 350, Riverside, CA 92505-7124 — (951) 476-5642

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 125354 (CA)

Record details

NPI number1003586835
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 14, 2021
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Victoria Community Counseling Licensed Clinical Social Worker Co — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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