Active NPI
Kirsten Jeanne Gardner, M.D.
- Pediatrics Physician
- Sierra Madre, CA
National Provider Identifier
1710987474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A93580
- Practice address
- 434 Fairview Ave
Sierra Madre, CA 91024-1032 - Phone
- (266) 186-7952
- Fax
- (626) 270-5440
- NPI assigned
- Jul 26, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A93580 | CA | Primary |
Addresses
Primary practice location
434 Fairview Ave
Sierra Madre, CA 91024-1032
Mailing address
PO Box 1684
Sierra Madre, CA 91025-4684
Phone (266) 618-7952
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A93580 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1710987474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1684",
"city": "SIERRA MADRE",
"state": "CA",
"postal_code": "910254684",
"telephone_number": "266-618-7952",
"fax_number": "626-270-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "434 FAIRVIEW AVE",
"city": "SIERRA MADRE",
"state": "CA",
"postal_code": "910241032",
"telephone_number": "266-186-7952",
"fax_number": "626-270-5440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "KIRSTEN",
"middle_name": "JEANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-26",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A93580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sierra Madre, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.