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

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: July 19, 2026.

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

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 provider 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.Information from the official NPPES registry record, last updated November 13, 2025.

NPPES Registry Identity

NPI1740893353
Entity TypeIndividualFemale
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
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. How NPI validation works

Primary Specialty

Marriage & Family Therapist

Taxonomy 106H00000X · Behavioral Health & Social Service Providers

Licensed in CA · 158502

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… Show more

Also Listed

Case Manager/Care Coordinator

Taxonomy 171M00000X · Other Service Providers

Licensed in CA · 158502
3636 CAMINO DEL RIO N STE 150, San Diego, CA 92108

Also on File with NPPES

Secondary Location1
300 N Brand Blvd Ste 170
Glendale, CA 91203-2304
Phone (909) 453-2984

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
3636 CAMINO DEL RIO N STE 150
SAN DIEGO, CA 92108
Foster Care Agency
3636 CAMINO DEL RIO N STE 150
SAN DIEGO, CA 92108
Case Manager/Care Coordinator
3636 CAMINO DEL RIO N STE 150
SAN DIEGO, CA 92108
Marriage & Family Therapist
3636 CAMINO DEL RIO N STE 150
SAN DIEGO, CA 92108
Case Manager/Care Coordinator
3636 CAMINO DEL RIO N STE 150
SAN DIEGO, CA 92108
Rehabilitation Practitioner
3636 CAMINO DEL RIO N STE 150
SAN DIEGO, CA 92108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740893353, enumerated as an "individual" on August 25, 2020.

The provider is located at 3636 CAMINO DEL RIO N STE 150 SAN DIEGO, CA 92108 and the phone number is (951) 373-6961.

Marriage & Family Therapist with taxonomy code 106H00000X.