Maria Isabel Tamayo

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1117508 Issued in CA

Practice address

255 N D St. Suite #412, 408
San Bernardino, CA 92401-1735

Phone

(951) 788-5905

Fax

(951) 788-5903

NPI assigned

Oct 13, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Operant Services

  • Community/Behavioral Health Agency
  • Riverside, CA
  • NPI 1104542216
  NPD
• Walden Environment

  • Community/Behavioral Health Agency
  • San Bernardino, CA
  • NPI 1225351828
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1639711435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53413",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926193413",
            "telephone_number": "657-236-1287",
            "fax_number": "714-333-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N D ST. SUITE #412, 408",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011735",
            "telephone_number": "951-788-5905",
            "fax_number": "951-788-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMAYO",
        "first_name": "MARIA",
        "middle_name": "ISABEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-13",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "1117508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yessar Takruri, M.D.
• Sean Talamante
• Matthew Levi Talley Sr.
• Tamano Fletcher Corp.
• Johnny Tamas
• Vincent Anthony Moya Tamayo
• Davina Tamez
• Betty Marcia Tamtomo, LCSW
• Catherine Tan, M.D.
• Christina Maria Picar Tan, CRNA

• Marriage & Family Therapist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.