Mark Charles Gardner, is a
Physical Therapist based in Loleta, California. Mark Charles Gardner is licensed to practice in California (license number 33641) and his current practice location is
65 Hillcrest Dr, Loleta, California. He can be reached at his office (for appointments etc.) via phone at
(707) 497-8424.
NPI number for Mark Charles Gardner is 1366354243 and his current mailing address is 65 Hillcrest Dr, Loleta, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366354243.
Healthcare Provider's Profile
| Full Name | Mark Charles Gardner |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 65 Hillcrest Dr, Loleta, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366354243
- Provider Enumeration Date: 09/17/2026
- Last Update Date: 09/17/2026
Medical Identifiers
Medical identifiers for Mark Charles Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1366354243 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 33641 (California) | Primary |
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. Mark Charles Gardner 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 |
Mark Charles Gardner, 65 Hillcrest Dr, Loleta, CA 95551-9631 Ph: (707) 497-8424 | Mark Charles Gardner, 65 Hillcrest Dr, Loleta, CA 95551-9631 Ph: (707) 497-8424 |
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