IndividualActive
Jerry Gardner, M.D
NPI 1396040838 · Family Medicine Physician · Mill Valley, CA
Jerry Gardner, M.D is a Family Medicine Physician provider in Mill Valley, CA (NPI 1396040838).
Provider details
- NPI number
- 1396040838
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD009630E (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
75 Desilva Island Drive
Mill Valley, CA 94941
Phone: (415) 381-1041
Fax: (415) 381-1046
Street-level locationGet directions
Mailing address
75 Desilva Island Drive
Mill Valley, CA 94941
Registry dates
- Enumerated
- 2011-01-13
- Last updated
- 2011-01-13
Frequently asked questions
- What is Jerry Gardner's NPI number?
- Jerry Gardner's National Provider Identifier (NPI) is 1396040838, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Gardner's specialty?
- Jerry Gardner is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jerry Gardner located?
- Jerry Gardner's practice location on file with NPPES is 75 Desilva Island Drive, Mill Valley, CA 94941.
- What is Jerry Gardner's phone number?
- The practice phone number listed in the NPPES registry for Jerry Gardner is (415) 381-1041.
- Is Jerry Gardner's NPI active?
- Yes — Jerry Gardner's NPI (1396040838) is active in the NPPES registry as of the last update on 2011-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.