Individual provider Active NPI

Matthew J Gardiner, MD

  • Psychiatry Physician
  • Marina, CA
National Provider Identifier
1629084710
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C159653 Issued in CA
Practice address
299 12TH St
Marina, CA 93933-6003
Phone
(831) 647-7652
NPI assigned
Jul 31, 2006
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 475067-1205 UT
Psychiatry Physician 2084P0800X C159653 CA Primary

Addresses

Primary practice location

299 12TH St
Marina, CA 93933-6003

Mailing address

6672 Serviceberry Dr
Park City, UT 84098-1518
Phone (801) 510-2543

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190220002910 CA Practitioner - Psychiatry 9133148794 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Utah School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of MontereyGroup PAC ID 2466345632, 186 clinicians

Practice addresses (Care Compare)

1441 Constitution Blvd
Suite 202
Salinas, CA 93906-3127
Phone (831) 769-1700

359 Gabilan Dr
Soledad, CA 93960-3550
Phone (831) 769-8740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C159653CAMDPsychiatry Physician
475067-1205UTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Jul 3, 2023 Accepting new patients
County of Monterey Behavioral Health CurrentSince Nov 8, 2023 Accepting new patients
County of Santa Clara CurrentSince Jul 3, 2023 Accepting new patients
County of San Diego Current Accepting new patients
County of Sonoma CurrentSince Jan 18, 2020 Accepting new patients
County of San Diego CurrentSince Feb 1, 2019 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Jul 3, 2023 Accepting new patients
County of Santa Clara Current Accepting new patients
County of San Diego CurrentSince Feb 1, 2019 Accepting new patients
County of Santa Clara CurrentSince Jul 3, 2023 Accepting new patients
County of Sonoma CurrentSince Jan 18, 2020 Accepting new patients
University of Utah Medical Center Psychiatry Psychiatry Past Accepting new patients

Locations

1000 Broadway
Ste 210
El Cajon, CA 92021
Phone (619) 401-5500

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

299 12th St
Marina, CA 93933
Phone (831) 647-7626

1270 Natividad Rd
Salinas, CA 93906
Phone (831) 755-4500

1250 Morena Blvd
San Diego, CA 92110
Phone (619) 692-8715

3177 Ocean View Blvd
San Diego, CA 92113
Phone (619) 231-9300

3853 Rosecrans St
San Diego, CA 92110
Phone (619) 615-0439

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1450 Neotomas Ave
Ste 200
Santa Rosa, CA 95405
Phone (707) 565-1138

2225 Challenger Way
Santa Rosa, CA 95407
Phone (707) 565-4101

359 Gabilan Dr
Soledad, CA 93960
Phone (831) 769-8740

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1629084710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6672 SERVICEBERRY DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840981518",
            "telephone_number": "801-510-2543",
            "fax_number": "801-614-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 12TH ST",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939336003",
            "telephone_number": "831-647-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDINER",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "475067-1205",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C159653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina, CA

Sources for this page

Verify at the official NPI Registry.