Individual provider Active NPI

Tanya Patricia Lopez Carcamo, LMFT

  • Marriage & Family Therapist
  • Moreno Valley, CA
National Provider Identifier
1962797407
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT87293 Issued in CA
Practice address
PO Box 6183
Moreno Valley, CA 92554-6183
Phone
(951) 314-6743
NPI assigned
Jun 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT87293 CA Primary
Marriage & Family Therapist 106H00000X MFT-INTERN67049 CA

Addresses

Primary practice location

PO Box 6183
Moreno Valley, CA 92554-6183

Mailing address

PO Box 6183
Moreno Valley, CA 92554-6183
Phone (951) 314-6743

Other practice location 1

5885 Brockton Ave
Riverside, CA 92506-1863
Phone (800) 270-5016

Other names 1

  • Ms. Tanya Patricia Lopez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240701001591 CA Practitioner - Marriage and Family Therapist 0345784468 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87293CAMDMarriage & Family Therapist
67049CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince May 19, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince May 19, 2024 Accepting new patients

Locations

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000

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.

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1962797407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6183",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925546183",
            "telephone_number": "951-314-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 6183",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925546183",
            "telephone_number": "951-314-6743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5885 Brockton Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925061863",
            "country_code": "US",
            "telephone_number": "800-270-5016",
            "fax_number": "800-680-3626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARCAMO",
        "first_name": "TANYA",
        "middle_name": "PATRICIA LOPEZ",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT87293",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT-INTERN67049",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "LOPEZ",
            "middle_name": "PATRICIA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.