SUSIE LILLIANA GAMBOA MS, LMFT
NPI 1740893353
Marriage & Family Therapist in San Diego, CA

Q: What is Susie Gamboa's NPI number?

The NPI number for Susie Gamboa is 1740893353. It was assigned to this individual provider in the NPPES registry on August 25, 2020.

Q: What is Susie Gamboa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susie Gamboa was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 25, 2020

3636 CAMINO DEL RIO N STE 150, SAN DIEGO, CA 92108(951) 373-6961 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2025, Oct 6, 2025, Feb 23, 2023 and 2 more (5 updates tracked since 2020).

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About Susie Lilliana Gamboa Ms, Lmft NPPES

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

SUSIE LILLIANA GAMBOA MS, LMFT (NPI 1740893353) is an individual marriage & family therapist in San Diego, California, licensed in California (158502) and active in the NPI registry since August 2020. She maintains a secondary practice location in Glendale.

NPPES Registry Identity

NPI1740893353

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSUSIE LILLIANA GAMBOACredential: MS, LMFT

Location Address3636 CAMINO DEL RIO N STE 150San Diego, CA 92108-1709

Mailing AddressPo Box 9173San Bernardino, CA 92427-0173 · (951) 373-6961

Phone(951) 373-6961

Sole ProprietorYes

Enumeration DateAugust 25, 2020

Last NPPES UpdateNovember 13, 20255 updates tracked since enumeration

NPPES CertifiedNovember 13, 2025

✔ NPI 1740893353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 158502

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.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 158502 (CA)

3636 CAMINO DEL RIO N STE 150, San Diego, CA 92108

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Secondary Practice Location 1

Location 1300 N Brand Blvd Ste 170Glendale, CA 91203-2304 · Phone (909) 453-2984

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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