Healthcare Provider Details

I. General information

NPI: 1831675255
Provider Name (Legal Business Name): GABRIELA AYALA DELGADO MA- PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2018
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 G ST
ANTIOCH CA
94509-1259
US

IV. Provider business mailing address

4500 GOLDEN HILLS CT
ANTIOCH CA
94531-7600
US

V. Phone/Fax

Practice location:
  • Phone: 925-779-7460
  • Fax:
Mailing address:
  • Phone: 925-503-4071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number240171742
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: