Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tamara Elisse Gonzalez

Individual provider Marriage & Family Therapist · NPI 1255011367

Tamara Elisse Gonzalez is a Marriage and Family Therapist in Alta Loma, California. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2023
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Practice location Address checks out

8326 Banyan St
Alta Loma, CA 91701-2602
Phone: (909) 732-5936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 136056 (CA)

Record details

NPI number1255011367
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 24, 2023
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Alta Loma