Active NPI
Kathryn Menta Gardner, M.D.
- Cornea and External Diseases Specialist Physician
- Santa Monica, CA
National Provider Identifier
1740335686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cornea and External Diseases Specialist Physician
- License
- G43380
- Practice address
- 242 26TH St
Santa Monica, CA 90402-2552 - Phone
- (310) 451-3911
- Fax
- (310) 458-4402
- NPI assigned
- Jan 23, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | G43380 | CA | |
| Cornea and External Diseases Specialist Physician | 207WX0120X | G43380 | CA | Primary |
Addresses
Primary practice location
242 26TH St
Santa Monica, CA 90402-2552
Mailing address
242 26TH St
Santa Monica, CA 90402-2552
Phone (310) 451-3911
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2014 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G43380 | CA | MD | Cornea and External Diseases Specialist Physician |
| 43380 | CA | MD | Physical Therapist |
Interoperability endpoints
- kgardner@kgardnermd.emadirect.md
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577404800000",
"number": "1740335686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 26TH ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904022552",
"telephone_number": "310-451-3911",
"fax_number": "310-458-4402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 26TH ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904022552",
"telephone_number": "310-451-3911",
"fax_number": "310-458-4402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "KATHRYN",
"middle_name": "MENTA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2019-12-27",
"certification_date": "2019-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "G43380",
"primary": false
},
{
"code": "207WX0120X",
"taxonomy_group": "",
"desc": "Ophthalmology, Cornea and External Diseases Specialist",
"state": "CA",
"license": "G43380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.