Organization Active NPI

Gardner D Tarlow MD Inc

  • Family Medicine Physician
  • Anaheim, CA
National Provider Identifier
1518259084
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A71363 Issued in CA
Legal business name
GARDNER D TARLOW MD INC
Practice address
1781 W Romneya Dr Ste C
Anaheim, CA 92801-1818
Phone
(714) 772-2210
Fax
(714) 774-2826
NPI assigned
May 3, 2011
Last updated
Jan 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Authorized official

Name
Gardner Tarlow, MDNPI 1871540369
Title
President
Phone
(714) 772-2210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A71363 CA Primary

Addresses

Primary practice location

1781 W Romneya Dr Ste C
Anaheim, CA 92801-1818

Mailing address

1781 W Romneya Dr Ste C
Anaheim, CA 92801-1818
Phone (714) 772-2210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120625000016 CA Part B Supplier - Clinic/Group Practice 9638334790 Receives reassigned benefits from 1 practitioner
Practice locations: Anaheim, CA

National Provider Directory

National Provider Directory

Locations

215 N State College Blvd
Ste C
Anaheim, CA 92806
Phone (714) 772-2210

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1518259084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 W ROMNEYA DR STE C",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011818",
            "telephone_number": "714-772-2210",
            "fax_number": "714-774-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 W ROMNEYA DR STE C",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011818",
            "telephone_number": "714-772-2210",
            "fax_number": "714-774-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER D TARLOW MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "TARLOW",
        "authorized_official_first_name": "GARDNER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-772-2210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A71363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.