Richard Bardonner, SUDRC is a
Peer Specialist based in Modesto, California. Richard Bardonner is licensed to practice in California (license number MPSS-SOZKEW) and his current practice location is
800 Scenic Dr, Modesto, California. He can be reached at his office (for appointments etc.) via phone at
(209) 558-4610.
NPI number for Richard Bardonner is 1659160042 and his current mailing address is 800 Scenic Dr, Modesto, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659160042.
Healthcare Provider's Profile
| Full Name | Richard Bardonner |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 800 Scenic Dr, Modesto, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1659160042
- Provider Enumeration Date: 05/02/2025
- Last Update Date: 10/21/2025
Medical Identifiers
Medical identifiers for Richard Bardonner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659160042 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 20255 (California) | Secondary |
| 175T00000X | Peer Specialist | MPSS-SOZKEW (California) | Primary |
| 372600000X | Adult Companion | (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Richard Bardonner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Richard Bardonner, SUDRC
800 Scenic Dr,
Modesto, CA 95350-6131
Ph: (209) 558-4610 | Richard Bardonner, SUDRC
800 Scenic Dr,
Modesto, CA 95350-6131
Ph: (209) 558-4610 |
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