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DR. GARY PEDNEAULT MD
NPI 1003076845
Psychiatry & Neurology - Psychiatry in Los Angeles, CA

Active since June 16, 2008Opted out of Medicare · through May 6, 2027
7257 W MANCHESTER AVE APT 3, LOS ANGELES, CA 90045(310) 410-8266 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary Pedneault Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GARY PEDNEAULT MD (NPI 1003076845) is an individual psychiatry provider in Los Angeles, California, licensed in California (A48685) and active in the NPI registry since June 2008. He has opted out of Medicare through May 6, 2027.

NPPES Registry Identity

NPI1003076845
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. GARY PEDNEAULTCredential: MD
Location Address7257 W MANCHESTER AVE APT 3Los Angeles, CA 90045-3517
Mailing AddressPo Box 2952Beverly Hills, CA 90213-2952
Phone(310) 410-8266
Sole ProprietorYes
Enumeration DateJune 16, 2008
✔ NPI 1003076845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A48685
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
7257 W MANCHESTER AVE APT 3, Los Angeles, CA 90045
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Gary Pedneault Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 6, 2025 through May 6, 2027.

Opt-Out Effective DateMay 6, 2025
Opt-Out In Effect ThroughMay 6, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Pedneault's NPI number?

The NPI number for Gary Pedneault is 1003076845. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Where is Gary Pedneault located?

Gary Pedneault practices at 7257 W Manchester Ave Apt 3, Los Angeles, CA 90045. The listed phone number is (310) 410-8266.

What is Gary Pedneault's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Gary Pedneault enrolled in Medicare?

No. Gary Pedneault has opted out of Medicare through May 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Gary Pedneault was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.