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

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

Practice location Address checks out

593 W 6th St
San Pedro, CA 90731-2521
Phone: (310) 547-0202
Show map & directions

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

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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