Active NPI
Carol Quilligan Gardner, M.D.
- Pediatric Adolescent Medicine Physician
- Irvine, CA
National Provider Identifier
1386866176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- G72702
- Practice address
- 2646 Dupont Dr
Suite 250
Irvine, CA 92612-8887 - Phone
- (949) 261-2981
- Fax
- (949) 261-8292
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | G72702 | CA | Primary |
| Community Health Clinic/Center | 261QC1500X | CA |
Addresses
Primary practice location
2646 Dupont Dr
Suite 250
Irvine, CA 92612-8887
Mailing address
6 Harvey CT
Irvine, CA 92617-4033
Phone (949) 854-2803
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G72702 | CA | MD | Pediatric Adolescent Medicine Physician |
| 550000003 | CA | MD | Community Health Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birth Choice | Community Health | Past | Accepting new patients |
Organizations & group practices 1
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": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1386866176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 HARVEY CT",
"city": "IRVINE",
"state": "CA",
"postal_code": "926174033",
"telephone_number": "949-854-2803",
"fax_number": "949-856-0127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2646 DUPONT DR",
"address_2": "SUITE 250",
"city": "IRVINE",
"state": "CA",
"postal_code": "926128887",
"telephone_number": "949-261-2981",
"fax_number": "949-261-8292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "CAROL",
"middle_name": "QUILLIGAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "CA",
"license": "G72702",
"primary": true
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.