Individual provider Active NPI

Mary L Garren, M.D.

  • Gastroenterology Physician
  • Monterey, CA
National Provider Identifier
1801806567
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G81025 Issued in CA
Practice address
23 Upper Ragsdale Dr
Suite 200
Monterey, CA 93940-5771
Phone
(831) 375-3577
Fax
(831) 375-1478
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G81025 CA Primary

Addresses

Primary practice location

23 Upper Ragsdale Dr
Suite 200
Monterey, CA 93940-5771

Mailing address

23 Upper Ragsdale Dr
Suite 200
Monterey, CA 93940-5771
Phone (831) 375-3577

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
I20080524000069 CA Practitioner - Gastroenterology 9537238936 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81025CAMDPharmacist
G81025CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Jun 19, 2010 Accepting new patients

Locations

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801806567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 UPPER RAGSDALE DR",
            "address_2": "SUITE 200",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405771",
            "telephone_number": "831-375-3577",
            "fax_number": "831-375-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 UPPER RAGSDALE DR",
            "address_2": "SUITE 200",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405771",
            "telephone_number": "831-375-3577",
            "fax_number": "831-375-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARREN",
        "first_name": "MARY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G81025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.