Active NPI
Imogen Jamie Elizabeth Gardner
- Specialist
- Riverside, CA
National Provider Identifier
1346146263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- L10033
- Practice address
- 6840 Indiana Ave Ste 150
Riverside, CA 92506-4271 - Phone
- (951) 530-8148
- NPI assigned
- Oct 16, 2026
- Last updated
- Oct 16, 2026
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | L10033 | CA | Primary |
Addresses
Primary practice location
6840 Indiana Ave Ste 150
Riverside, CA 92506-4271
Mailing address
6840 Indiana Ave Ste 150
Riverside, CA 92506-4271
Phone (951) 530-8148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792108800000",
"number": "1346146263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6840 INDIANA AVE STE 150",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925064271",
"telephone_number": "951-530-8148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6840 INDIANA AVE STE 150",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925064271",
"telephone_number": "951-530-8148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "IMOGEN",
"middle_name": "JAMIE ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-16",
"last_updated": "2026-10-16",
"certification_date": "2026-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "L10033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.