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

Mayra Perez Gonzalez

Individual provider Clinical Social Worker · NPI 1215286950

Mayra Perez Gonzalez is a Clinical Social Worker in San Pedro, California. Qualified in 2012, 14 years ago. Practices with Harbor Community Clinic Inc, a 16-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2012
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Practice location Address checks out

593 W 6th St
San Pedro, CA 90731-2521
Phone: (310) 547-0202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 95088 (CA)

Record details

NPI number1215286950
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 7, 2012
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing address593 W 6th St, San Pedro, CA 90731-2521

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Harbor Community Clinic Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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