Healthcare Provider Details

I. General information

NPI: 1619891124
Provider Name (Legal Business Name): MAYA PACE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27206 CALAROGA AVE STE 107
HAYWARD CA
94545-4300
US

IV. Provider business mailing address

27206 CALAROGA AVE STE 107
HAYWARD CA
94545-4300
US

V. Phone/Fax

Practice location:
  • Phone: 510-881-5921
  • Fax: 184-483-0265
Mailing address:
  • Phone: 510-881-5921
  • Fax: 184-483-0265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: