Alisa Gardner

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW18615 Issued in CA

Practice address

3151 Airway Ave
T2
Costa Mesa, CA 92626-4607

Phone

(949) 438-2342

NPI assigned

Jul 9, 2016

Last updated

Jun 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1986

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Integrative Behavioral Health and Medicine IncGroup PAC ID 4385021393, 18 clinicians

Imbcs IncGroup PAC ID 6103395397, 5 clinicians

United Psychiatry, Inc.Group PAC ID 0547780439, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrative Behavioral Health & Medicine, Inc.

  • Psychiatry Physician
  • Los Altos, CA
  • NPI 1548910151
  Medicare reassignment Care Compare group NPD
• United Psychiatry, Inc.

  dba United Psychiatry

  • Psychiatry Physician
  • Mountain View, CA
  • NPI 1245943596
  Medicare reassignment Care Compare group NPD
• Imbcs Inc

  • Psychiatry Physician
  • Sacramento, CA
  • NPI 1225996721
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1468022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1518319946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4546 EL CAMINO REAL STE B7",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221069",
            "telephone_number": "866-362-4246",
            "fax_number": "650-260-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE",
            "address_2": "T2",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264607",
            "telephone_number": "949-438-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "ALISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-09",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW18615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silvia Garcia
• Yajayra Garcia
• Yesenia Garcia
• Carmen Jacqueline Garciasanchez
• Liliana Garcilazo
• Ashley Brooke Gardner, LCSW
• Shawn Andrew Gardner
• Sandra Garduno
• Alexander Garett
• Fabian Garfias-Izquierdo

• Clinical Social Worker in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.