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

Tara Jean Gonzalez, MD

Individual provider Family Medicine Physician · NPI 1306379508

Tara Jean Gonzalez, MD is a Family Practice in Oakland, California. Qualified in 2017, 9 years ago. Practices with Lyon-Martin Community Health Services, a 19-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3451 E 12th St
Oakland, CA 94601-3463
Phone: (510) 535-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A158829 (CA)

Record details

NPI number1306379508
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2017
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 17, 2025
Mailing address1001 Potrero Ave Bldg 80, Sfgh Family Health Center, San Francisco, CA 94110-3518

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Lyon-Martin Community Health Services — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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