1. Home
  2. Directory
  3. California
  4. Mill Valley
  5. Family Medicine
  6. NPI Profile

JERRY D. GARDNER M.D
NPI 1396040838
Family Medicine in Mill Valley, CA

Active since January 13, 2011
75 DESILVA ISLAND DRIVE, MILL VALLEY, CA 94941(415) 381-1041(415) 381-1046 Get Directions Write a Review

NPPES record last updated: January 13, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jerry D. Gardner M.d NPPES

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

JERRY D. GARDNER M.D (NPI 1396040838) is an individual family medicine provider in Mill Valley, California, licensed in Pennsylvania (MD009630E) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1396040838
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJERRY D. GARDNERCredential: M.D
Location Address75 DESILVA ISLAND DRIVEMill Valley, CA 94941
Mailing Address75 Desilva Island DriveMill Valley, CA 94941 · (415) 381-1041 · Fax (415) 381-1046
Phone(415) 381-1041
Fax(415) 381-1046
Sole ProprietorYes
Enumeration DateJanuary 13, 2011
✔ NPI 1396040838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD009630E
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
75 DESILVA ISLAND DRIVE, Mill Valley, CA 94941
Open in Google Maps ↗

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 Jerry Gardner's NPI number?

The NPI number for Jerry Gardner is 1396040838. It was assigned to this individual provider in the NPPES registry on January 13, 2011.

Where is Jerry Gardner located?

Jerry Gardner practices at 75 Desilva Island Drive, Mill Valley, CA 94941. The listed phone number is (415) 381-1041.

What is Jerry Gardner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jerry Gardner was last updated on January 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.