Look up the most recent NPI and PECOS records

Penny Gardner

Pediatrics

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Penny Gardner does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1083749840
Provider Type
Individual
Full Name
Gardner, Penny
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
2/22/2007
Last Updated
3/24/2008

Contact Information

Practice Location

725 Welch Rd, Palo Alto, CA 94304-1601

(650) 723-4000

Unlisted Fax

Mailing Location

2680 Hanover St, Palo Alto, CA 94304-1117

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License G21274 California

Provider Identifiers

ID	Description	Issuer
ID 00G212740	Description Medicaid	Issuer Unlisted California

Penny Gardner

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Yeh, Debra Jing

Boelman, Alina Margaret

Hallum, Courtney

Long, Zsofia Banhegyi

Dunn, Emily

Eliab, Hannah Nicole Tan

Babcock, Debra Ann

Chi, Kevin Wei-Han

Gorukanti, Anuradha

Dayal, Anuradha