MARY KATHERYN GARDNER


Address: 18515 Mansel Ave, Redondo Beach, CA 90278-4642
Phone: 3105075756

MARY KATHERYN GARDNER (NPI# 1588086680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588086680
Entity Type Individual
Full Name MARY KATHERYN GARDNER
Practice Address 18515 Mansel Ave
Redondo Beach
CA 90278-4642
Practice Telephone 3105075756
Mailing Telephone 3105075756
Enumeration Date 2014-01-09
Last Update Date 2014-01-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 126800000X Dental Assistant 68677 CA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA RDA LICENSE 68677 01

Other Providers MARY GARDNER

NPI Name Taxonomy Address Enumeration
1801254727 Mary Gardner Registered Nurse 1234 Burlingham Rd, Pine Bush, NY 12566-7323 2016-02-06
1780978809 Mary S. Gardner Pharmacist 270 Central Pkwy, T-0989, Heath, OH 43056-1278 2011-06-06
1326292822 Mary C. Gardner Physical Therapist 86 Cardinal Ln, Mandeville, LA 70471-6744 2008-11-11
1992884258 Mary Elizabeth Gardner Physical Therapist 11022 Nicholas Ln, Suite 1, Ocean Pines, MD 21811-3352 2006-11-06
1306808985 Mary Lambert Gardner Psychologist 9 Tulip Poplar Ct, Rosedale, MD 21237-3376 2006-04-06
1578545778 Mary Frances Gardner Nurse Practitioner 600 Moye Boulvard, Greenville, NC 27858 2005-11-15
1508859703 Mary S Gardner Radiology 171 Webb Dr, Davenport, FL 33837-3944 2005-08-24
1013518141 Mary Frances Gardner Technician 3044 Thayer St Ne, Washington, DC 20018-2505 2020-11-04
1316568652 Mary Stephany Gardner Dental Hygienist 12351 Dillingham Sq, Woodbridge, VA 22192-5251 2020-04-28
1437795606 Mary Gardner Nurse Practitioner 613 Marquette Rd, Brandon, MS 39042-3038 2019-11-22

Office Location

Street Address 18515 MANSEL AVE
City REDONDO BEACH
State CA
Zip Code 90278-4642

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194354233 Bobby Kou Occupational Therapist 2012 Mathews Ave #b, Redondo Beach, CA 90278 2020-04-01
1053827329 Bright Day Therapy Center Inc Occupational Therapist 2602 Nelson Ave, Redondo Beach, CA 90278 2017-12-21
1902147978 Nancy A Livingston Nurse Practitioner 100 Medical Plaza Suite 630 East, Los Angeles, CA 90278 2013-03-15
1437460599 Su Jin Feuer Social Worker 2113 Vanderbilt Ln Unit C, Redondo Beach, CA 90278 2010-06-23
1477711372 Sormeh Rastegar Panah Dentist 2731 Manhattan Beach Blvd, Redondo Beach, CA 90278 2008-05-28
1124244348 James A Nguyen Dds A Dental Corp Dentist 1738 Aviation Blvd., Redondo Beach, CA 90278 2007-04-17
1730233628 Kenneth D Ochi Dentist 1444 Aviation Blvd, Suite # 201, Redondo Beach, CA 90278 2007-01-22
1609935675 Allen Joseph Selner Podiatrist 2850 Artesia Boulevard, Suite 204, Redondo Beach, CA 90278 2006-12-06
1184794430 Reza Khaghani General Practice 1959 Kingsdale Avenue, Rodondo Beach, CA 90278 2006-11-08
1932291473 Mathew James Deville Chiropractor 1981 Artesia Blvd, Redondo Beach, CA 90278 2006-09-29
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Taxonomy Information

Taxonomy Code 126800000X
Grouping Dental Providers
Classification Dental Assistant

Taxonomy Definition

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558808949 Miranda Marquez Dental Assistant 2209 Bataan Rd, Redondo Beach, CA 90278-1404 2017-01-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639779499 Candelaria S Muro Dental Assistant 34390 Scotella Rd, Temecula, CA 92592-9352 2020-10-29
1609476647 Corie Zenobia Rideau Dental Assistant 26511 Thoroughbred Ln, Moreno Valley, CA 92555-2965 2020-10-28
1255930921 Darlene Marie Piltingsrud Dental Assistant 13128 14 Th St, Camp Pendelton, CA 92055-5221 2020-10-22
1770182529 Virginia Santiago Williams Dental Assistant 21 Area Dental Clinic, Bldg 210735 C St, Camp Pendleton, CA 92055-5221 2020-10-22
1649878968 Rosalyn Mendoza Dental Assistant 18264 Ramona Ave, Fontana, CA 92336-3060 2020-10-09
1700483062 Alyssa R Mauro Dental Assistant 5681 Raintree Way, Oceanside, CA 92057-4813 2020-10-08
1588261119 Andrea Conners Dental Assistant 13218 Avalon Blvd Apt 219, Los Angeles, CA 90061-2363 2020-10-06
1720695984 Douglas Thomas Duncan Dental Assistant 92055- 14th Strret, Oceanside, CA 92055 2020-09-30
1548877004 Juliaisa Gisselle Caldero Dental Assistant Bldg 13128, Oceanside, CA 92058 2020-09-29
1528675980 Dora Louise Young Dental Assistant 92055 14th Street, Camp Pendleton, CA 92055 2020-09-29
Find all providers with the same taxonomy

Competitor

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City REDONDO BEACH
Zip Code 90278

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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