Organization Active NPI

Daniel J Gardner MD PC

  • Clinic/Center
  • Irvine, CA
National Provider Identifier
1962263780
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DANIEL J GARDNER MD PC
Practice address
4605 Barranca Pkwy Ste 205
Irvine, CA 92604-1729
Phone
(949) 228-9291
NPI assigned
Jan 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Daniel Gardner, MD
Title
Ceo
Phone
(949) 228-9291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4605 Barranca Pkwy Ste 205
Irvine, CA 92604-1729

Mailing address

4605 Barranca Pkwy Ste 205
Irvine, CA 92604-1729
Phone (949) 228-9291

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1962263780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 BARRANCA PKWY STE 205",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926041729",
            "telephone_number": "949-228-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 BARRANCA PKWY STE 205",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926041729",
            "telephone_number": "949-228-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J GARDNER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-228-9291",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.