TAMARA ELISSE GONZALEZ
NPI 1255011367
Marriage & Family Therapist in Colton, CA
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 Colton, California, licensed in California (136056) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Alta Loma, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tamara Elisse Gonzalez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Tamara Gonzalez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Colton, CA 92324
- Reassigned Medicare billing, California enrollment
- 233 clinicians in this Medicare group
Fontana, CA 92335
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
Santa Clara, CA 95054
- Reassigned Medicare billing, California enrollment
- 1,607 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLTON, CA 92324
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 1330 E Cooley Dr, Colton, CA 92324. The listed phone number is (909) 580-3705.
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.
Which organizations bill Medicare for Tamara Gonzalez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tamara Gonzalez reassigns Medicare benefits to 3 organizations: County Of San Bernardino (Colton, CA), Southern California Permanente Medical Group (Fontana, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tamara Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tamara Gonzalez was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Tamara Elisse Gonzalez · NPI 1255011367
Marriage & Family Therapist provider in Colton, California. Individual provider, active in the CMS NPPES registry since July 24, 2023.
## Identity
- **NPI:** 1255011367 (Entity type: Individual)
- **Enumerated:** July 24, 2023
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 136056 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1330 E COOLEY DR, Colton, CA 92324-3905
- **Phone:** (909) 580-3705
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): County Of San Bernardino (NPI 1982813275, Colton, CA); Southern California Permanente Medical Group (NPI 1689606196, Fontana, CA); Sud Specialty Group - Ca (NPI 1972138238, Santa Clara, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1255011367) · Data from the CMS NPPES public registry.