Individual provider Active NPI

Sheldon Harvey Kardener, M.D.

  • Psychiatry Physician
  • Santa Monica, CA
National Provider Identifier
1114085883
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C 26456 Issued in CA
Practice address
3101 Ocean Park Blvd
Suite # 100
Santa Monica, CA 90405-3022
Phone
(310) 399-8727
Fax
(310) 399-8727
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C 26456 CA Primary

Addresses

Primary practice location

3101 Ocean Park Blvd
Suite # 100
Santa Monica, CA 90405-3022

Mailing address

3101 Ocean Park Blvd
Suite # 100
Santa Monica, CA 90405-3022
Phone (310) 399-8727

Other identifiers 1

IdentifierTypeStateIssuer
111-408-5883OtherCANATIONAL PROVIDER IDENTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26456CAMDDentist
C 26456CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1114085883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 OCEAN PARK BLVD",
            "address_2": "SUITE # 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053022",
            "telephone_number": "310-399-8727",
            "fax_number": "310-399-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 OCEAN PARK BLVD",
            "address_2": "SUITE # 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053022",
            "telephone_number": "310-399-8727",
            "fax_number": "310-399-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARDENER",
        "first_name": "SHELDON",
        "middle_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C 26456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFICATION",
            "identifier": "111-408-5883",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.