Healing Garden Medical Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HEALING GARDEN MEDICAL CLINIC

Practice address

210 S Kenwood St Ste 100
Glendale, CA 91205-5109

Phone

(747) 777-2808

Fax

(747) 777-2809

NPI assigned

Mar 20, 2026

Organization subpart

No

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

Authorized official

Name

Gary Ford, MDNPI 1780634022

Title

Ceo/Owner

Phone

(747) 777-2808

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary E Ford, M.D.

  • Otolaryngology Physician
  • Gardena, CA
  • NPI 1780634022
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1773964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1730037003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S KENWOOD ST STE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912055109",
            "telephone_number": "747-777-2808",
            "fax_number": "747-777-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S KENWOOD ST STE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912055109",
            "telephone_number": "747-777-2808",
            "fax_number": "747-777-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING GARDEN MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "747-777-2808",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Glendale, CA
• Providers in Glendale, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.