NPIMap

Organization Active NPI

Gardner & Garcia, a Professional Dental Corporation

  • Dentist
  • Redondo Beach, CA
National Provider Identifier
1790766129
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29877 Issued in CA
Legal business name
GARDNER & GARCIA, A PROFESSIONAL DENTAL CORPORATION
Practice address
1235 S Gertruda Ave
Redondo Beach, CA 90277-5125
Phone
(310) 543-1938
Fax
(310) 543-9796
NPI assigned
Nov 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Dr. Linda Jo Gardner, D.D.S.
Title
President
Phone
(310) 543-1938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 29877 CA Primary

Addresses

Primary practice location

1235 S Gertruda Ave
Redondo Beach, CA 90277-5125

Mailing address

1235 S Gertruda Ave
Redondo Beach, CA 90277-5125
Phone (310) 543-1938

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1790766129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 S GERTRUDA AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775125",
            "telephone_number": "310-543-1938",
            "fax_number": "310-543-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 S GERTRUDA AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775125",
            "telephone_number": "310-543-1938",
            "fax_number": "310-543-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER & GARCIA, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-543-1938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "29877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.