| Dr Matthew J Gardiner, MD | |
|
299 12th St, Marina, CA 93933-6003 | |
| (831) 647-7652 | |
| Not Available |
| Full Name | Dr Matthew J Gardiner |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 299 12th St, Marina, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629084710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 475067-1205 (Utah) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | C159653 (California) | Primary |
| Entity Name | County Of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588721500 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000757 |
| Entity Name | County Of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
| Entity Name | County Of San Diego |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225255375 PECOS PAC ID: 8123014057 Enrollment ID: O20040423001418 |
| Entity Name | County Of Sonoma |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952637027 PECOS PAC ID: 4688658651 Enrollment ID: O20040616001152 |
| Entity Name | County Of Monterey |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467584805 PECOS PAC ID: 2466345632 Enrollment ID: O20040913001243 |
| Entity Name | County Of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Other Medical Care Group |
| Entity Identifiers | NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew J Gardiner, MD 6672 Serviceberry Dr, Park City, UT 84098-1518 Ph: (801) 510-2543 | Dr Matthew J Gardiner, MD 299 12th St, Marina, CA 93933-6003 Ph: (831) 647-7652 |
Dr. Daena Laureen Petersen, MD, MPH, MA Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 299 12th St Ste A, Marina, CA 93933 Phone: 831-647-7652 | |
Alex Rollo, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 201 9th St, Marina, CA 93933 Phone: 650-656-5572 |