Active NPI
Tandrea Nicole Tarver, MA, MFTI
- Marriage & Family Therapist
- Rancho Cucamonga, CA
National Provider Identifier
1679003511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 123307
- Practice address
- 9033 Base Line Rd Ste a
Rancho Cucamonga, CA 91730-1214 - Phone
- (310) 903-1680
- NPI assigned
- Jun 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 123307 | CA | Primary |
Addresses
Primary practice location
9033 Base Line Rd Ste a
Rancho Cucamonga, CA 91730-1214
Mailing address
9033 Base Line Rd Ste a
Rancho Cucamonga, CA 91730-1214
Phone (310) 903-1680
Other names 1
- Ms. Tandrea Nicole Tarver
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123307 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Set Apart Psychotherapy, Inc. | Marriage & Family Therapist | Current | Accepting new patients |
| Wellnest Emotional Health & Wellness | Past | Accepting new patients |
Locations
9033 Base Line Rd
Ste A
Rancho Cucamonga, CA 91730
Phone (909) 922-2442
Organizations & group practices 2
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.
-
- Marriage & Family Therapist
- Rancho Cucamonga, CA
- NPI 1144187352
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1639293574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767830400000",
"number": "1679003511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9033 BASE LINE RD STE A",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917301214",
"telephone_number": "310-903-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9033 BASE LINE RD STE A",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917301214",
"telephone_number": "310-903-1680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARVER",
"first_name": "TANDREA",
"middle_name": "NICOLE",
"credential": "MA, MFTI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-13",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "123307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TANDREA",
"last_name": "TARVER",
"middle_name": "NICOLE",
"prefix": "MS.",
"credential": "TANDREA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.