TAMARA ELISSE GONZALEZ NPI 1255011367

NPI Information

  • NPI: 1255011367
  • Provider Name: TAMARA ELISSE GONZALEZ
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8326 BANYAN ST
    ALTA LOMA, CA
    ZIP 91701
  • Phone: (909) 732-5936

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NPI Details

Tamara Elisse Gonzalez is a mental health counselor in Alta Loma, CA. Tamara Elisse Gonzalez NPI is 1255011367. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8326 BANYAN ST
ALTA LOMA, CA
ZIP 91701-602
Phone: (909) 732-5936

The NPI 1255011367 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/24/2023 and was last updated on 7/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health136056CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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