Individual provider Active NPI

Gina Elizabeth Tarango, MASTERS DEGREE

  • Mental Health Counselor
  • Claremont, CA
National Provider Identifier
1730268145
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFC36021 Issued in CA
Practice address
250 W 1St St
Suite 214
Claremont, CA 91711-4736
Phone
(909) 447-6497
NPI assigned
Nov 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFC36021 CA Primary

Addresses

Primary practice location

250 W 1St St
Suite 214
Claremont, CA 91711-4736

Mailing address

5051 Summerhill Rd
Rancho Cucamonga, CA 91737-1689
Phone (909) 447-6497

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

State licenses

LicenseStateTypeSpecialty
MFC36021CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730268145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 SUMMERHILL RD",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917371689",
            "telephone_number": "909-447-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 1ST ST",
            "address_2": "SUITE 214",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114736",
            "telephone_number": "909-447-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARANGO",
        "first_name": "GINA",
        "middle_name": "ELIZABETH",
        "credential": "MASTERS DEGREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC36021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.