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MARTIN GALLARDO RADT
NPI 1043917776
Counselor - Addiction (Substance Use Disorder) in San Pedro, CA

Active since February 13, 2023
1003 S BEACON ST, SAN PEDRO, CA 90731(310) 514-4940 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Martin Gallardo Radt NPPES

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

MARTIN GALLARDO RADT (NPI 1043917776) is an individual addiction (substance use disorder) provider in San Pedro, California, licensed in California (R1495280123) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1043917776
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMARTIN GALLARDOCredential: RADT
Location Address1003 S BEACON STSan Pedro, CA 90731-4324
Mailing Address1003 S Beacon StSan Pedro, CA 90731-4324 · (310) 514-4940
Phone(310) 514-4940
Sole ProprietorNo
Enumeration DateFebruary 13, 2023
NPPES CertifiedFebruary 13, 2023
✔ NPI 1043917776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1495280123
1003 S BEACON ST, San Pedro, CA 90731
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH D HARRINGTON RADT
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
AARON ROGER CRANDELL
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 868-9583
RAYMOND SETH MORENO
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
KYLE VINCENT CONNEALLY
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
MR. JOSEPH TYLER DUGGAN RAC
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
MR. MATTHEW R KEOUGH
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
MR. DANDRE JONES
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (424) 772-9669
ANDREW HUTCHERSON
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940

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 Martin Gallardo's NPI number?

The NPI number for Martin Gallardo is 1043917776. It was assigned to this individual provider in the NPPES registry on February 13, 2023.

Where is Martin Gallardo located?

Martin Gallardo practices at 1003 S Beacon St, San Pedro, CA 90731. The listed phone number is (310) 514-4940.

What is Martin Gallardo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Martin Gallardo was last updated on February 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.