Active NPI
Barry N Gardiner, M.D.
- Surgery Physician
- San Ramon, CA
National Provider Identifier
1619068533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G16217
- Practice address
- 2301 Camino Ramon
Suite 215
San Ramon, CA 94583-4440 - Phone
- (925) 275-1210
- Fax
- (925) 275-1200
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G16217 | CA | Primary |
Addresses
Primary practice location
2301 Camino Ramon
Suite 215
San Ramon, CA 94583-4440
Mailing address
2301 Camino Ramon
Suite 215
San Ramon, CA 94583-4440
Phone (925) 275-1210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G16217 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas B McNemar MD Inc | 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.
-
- Plastic and Reconstructive Surgery Physician
- Tracy, CA
- NPI 1700818168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256256000000",
"number": "1619068533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 CAMINO RAMON",
"address_2": "SUITE 215",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945834440",
"telephone_number": "925-275-1210",
"fax_number": "925-275-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 CAMINO RAMON",
"address_2": "SUITE 215",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945834440",
"telephone_number": "925-275-1210",
"fax_number": "925-275-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDINER",
"first_name": "BARRY",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2009-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G16217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.