Daniel Gardner, MD, a Professional Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G27104 Issued in CA

Legal business name

DANIEL GARDNER, MD, A PROFESSIONAL CORPORATION

Practice address

4550 Kearny Villa Rd
Suite 214
San Diego, CA 92123-1578

Phone

(858) 560-5609

Fax

(858) 560-5609

NPI assigned

Feb 5, 2008

Last updated

Feb 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Gardner, M.D.NPI 1134103591

Title

President

Phone

(858) 560-5609

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Gardner, MD

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1134103591
  Authorized official Same address or phone

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1417135294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 KEARNY VILLA RD",
            "address_2": "SUITE 214",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231578",
            "telephone_number": "858-560-5609",
            "fax_number": "858-560-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 KEARNY VILLA RD",
            "address_2": "SUITE 214",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231578",
            "telephone_number": "858-560-5609",
            "fax_number": "858-560-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL GARDNER, MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-560-5609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G27104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maricel Danganan
• Jeffrey R Dangaran, M.D.
• Lisa Danh
• Daniel & Max (Stanton Optical)
• Daniel Blaess, PH.D., Psychologist, Inc.
• Daniel Hall DMD Inc. (Sunray Pediatric Dentistry)
• Daniel J Marnell MD Apc
• Daniel J. Bressler, M.D., Inc. (Personalized Primary Care)
• Daniel Lee (Fed RX Pharmacy)
• Belinda Emily Daniel, M.D.

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.