Active NPI
Gary Jeandron, MFT
- Marriage & Family Therapist
- Palm Desert, CA
National Provider Identifier
1003248014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 43051
- Practice address
- 43585 Monterey Ave
Ste 4
Palm Desert, CA 92260-9342 - Phone
- (760) 345-8300
- NPI assigned
- Jul 31, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 43051 | CA | Primary |
Addresses
Primary practice location
43585 Monterey Ave
Ste 4
Palm Desert, CA 92260-9342
Mailing address
80225 Green Hills Dr
Indio, CA 92201-0847
Phone (760) 218-4000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 43051 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441238400000",
"number": "1003248014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80225 GREEN HILLS DR",
"city": "INDIO",
"state": "CA",
"postal_code": "922010847",
"telephone_number": "760-218-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43585 MONTEREY AVE",
"address_2": "STE 4",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922609342",
"telephone_number": "760-345-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEANDRON",
"first_name": "GARY",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-31",
"last_updated": "2015-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "43051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.