Active NPI
Robert Emerson Gardiner, M.D.
- Psychiatry Physician
- San Bernardino, CA
National Provider Identifier
1447326319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G66818
- Practice address
- 5500 University Pkwy
Student Health Center
San Bernardino, CA 92407-2318 - Phone
- (909) 537-5241
- Fax
- (909) 537-7027
- NPI assigned
- Nov 24, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G66818 | CA | Primary |
Addresses
Primary practice location
5500 University Pkwy
Student Health Center
San Bernardino, CA 92407-2318
Mailing address
504 N Farrell Dr
Palm Springs, CA 92262-6215
Phone (914) 588-9226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160715002138 | CA | Order and Referring Only - Psychiatry | 1456389139 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G66818 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Valley Counseling Center, Inc | Past | Accepting new patients | |
| Holyoke Medical Center, Inc. | Past | Accepting new patients | |
| Holyoke Medical Center, Inc. | Past | Accepting new patients |
Interoperability endpoints
- robert.gardiner.1@3548.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Psychiatric Hospital Unit
- Holyoke, MA
- NPI 1083776140
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1750395737
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Holyoke, MA
- NPI 1851444616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425945600000",
"number": "1447326319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 N FARRELL DR",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922626215",
"telephone_number": "914-588-9226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 UNIVERSITY PKWY",
"address_2": "STUDENT HEALTH CENTER",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924072318",
"telephone_number": "909-537-5241",
"fax_number": "909-537-7027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDINER",
"first_name": "ROBERT",
"middle_name": "EMERSON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2015-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G66818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.