Provider Demographics
NPI:1831675255
Name:AYALA DELGADO, GABRIELA (MA- PPS)
Entity type:Individual
Prefix:MRS
First Name:GABRIELA
Middle Name:
Last Name:AYALA DELGADO
Suffix:
Gender:F
Credentials:MA- PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 GOLDEN HILLS CT
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-7600
Mailing Address - Country:US
Mailing Address - Phone:925-503-4071
Mailing Address - Fax:
Practice Address - Street 1:510 G ST
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-1259
Practice Address - Country:US
Practice Address - Phone:925-779-7460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
CA171M00000X
CA240171742101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA09751764OtherKAISER