Active NPI
Mary L Garren, M.D.
- Gastroenterology Physician
- Monterey, CA
National Provider Identifier
1801806567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- G81025
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 81025 | CA | MD | Pharmacist |
| G81025 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency and Acute Care Medical Corporation | Current | 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.
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
CA
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.