DR. GARY JORDAN HAVENS M.D.
NPI 1497763999
Specialist in Glendale, CA

Active since August 03, 2006
607 N CENTRAL AVE, SUITE #208, GLENDALE, CA 91203(818) 551-6666(818) 551-6660 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gary Jordan Havens M.d. NPPES

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

DR. GARY JORDAN HAVENS M.D. (NPI 1497763999) is an individual specialist in Glendale, California, licensed in California (G12325) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1497763999
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. GARY JORDAN HAVENSCredential: M.D.
Location Address607 N CENTRAL AVE, SUITE #208Glendale, CA 91203-1804
Mailing Address607 N Central Ave, Suite #208Glendale, CA 91203-1804 · (818) 551-6666 · Fax (818) 551-6660
Fax(818) 551-6660
Sole ProprietorYes
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1497763999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · G12325
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
607 N CENTRAL AVE, Glendale, CA 91203

Other Identifiers 1

Medicare UPINA38622CA

Other Providers at the Same Location NPPES 12

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

Clinic/Center (Ambulatory Surgical)
607 N CENTRAL AVE, SUITE 103
GLENDALE, CA 91203
Ophthalmology
607 N CENTRAL AVE, SUITE 105
GLENDALE, CA 91203
Ophthalmology
607 N CENTRAL AVE, SUITE 204
GLENDALE, CA 91203
Ophthalmology
607 N CENTRAL AVE
GLENDALE, CA 91203
Optometrist
607 N CENTRAL AVE, SUITE 105
GLENDALE, CA 91203
Dentist (General Practice)
607 N CENTRAL AVE, 301
GLENDALE, CA 91203
Dentist (General Practice)
607 N CENTRAL AVE, SUITE 305
GLENDALE, CA 91203
Dentist (General Practice)
607 N CENTRAL AVE, SUITE #308
GLENDALE, CA 91203

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 Havens's NPI number?

The NPI number for Gary Havens is 1497763999. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Gary Havens located?

Gary Havens practices at 607 N Central Ave Suite #208, Glendale, CA 91203. The listed phone number is (818) 551-6666.

What is Gary Havens's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Gary Havens was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.