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TAMARA ELISSE GONZALEZ
NPI 1255011367
Marriage & Family Therapist in Alta Loma, CA

Active since July 24, 2023PECOS Enrolled
8326 BANYAN ST, ALTA LOMA, CA 91701(909) 732-5936 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2026, Jul 24, 2023 (2 updates tracked since 2023).

About Tamara Elisse Gonzalez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMARA ELISSE GONZALEZ (NPI 1255011367) is an individual marriage & family therapist in Alta Loma, California, licensed in California (136056) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1255011367
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameTAMARA ELISSE GONZALEZ
Location Address8326 BANYAN STAlta Loma, CA 91701-2602
Mailing Address8326 Banyan StAlta Loma, CA 91701-2602 · (909) 732-5936
Phone(909) 732-5936
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 24, 2023
Last NPPES UpdateFebruary 2, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1255011367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 136056
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
8326 BANYAN ST, Alta Loma, CA 91701
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tamara Elisse Gonzalez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244728491
PECOS Enrollment IDI20251021001917
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tamara Gonzalez's NPI number?

The NPI number for Tamara Gonzalez is 1255011367. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Tamara Gonzalez located?

Tamara Gonzalez practices at 8326 Banyan St, Alta Loma, CA 91701. The listed phone number is (909) 732-5936.

What is Tamara Gonzalez's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Tamara Gonzalez enrolled in Medicare?

Yes. Tamara Gonzalez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tamara Gonzalez was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.