ALISA GARDNER
NPI 1518319946
Social Worker - Clinical in Costa Mesa, CA
About Alisa Gardner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALISA GARDNER (NPI 1518319946) is an individual clinical provider in Costa Mesa, California, licensed in California (LCSW18615) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (1986).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alisa Gardner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Alisa Gardner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mountain View, CA 94040
- Reassigned Medicare billing, California enrollment
- 6 clinicians in this Medicare group
Los Altos, CA 94022
- Reassigned Medicare billing, California enrollment
- 19 clinicians in this Medicare group
Sacramento, CA 95811
- Reassigned Medicare billing, California enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92626 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
COSTA MESA, CA 92626
COSTA MESA, CA 92626
COSTA MESA, CA 92626
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 Alisa Gardner's NPI number?
The NPI number for Alisa Gardner is 1518319946. It was assigned to this individual provider in the NPPES registry on July 9, 2016.
Where is Alisa Gardner located?
Alisa Gardner practices at 3151 Airway Ave T2, Costa Mesa, CA 92626. The listed phone number is (949) 438-2342.
What is Alisa Gardner's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Alisa Gardner enrolled in Medicare?
Yes. Alisa Gardner is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Alisa Gardner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alisa Gardner reassigns Medicare benefits to 3 organizations: United Psychiatry, Inc. (Mountain View, CA), Integrative Behavioral Health & Medicine, Inc. (Los Altos, CA) and Imbcs Inc (Sacramento, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alisa Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Alisa Gardner was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Alisa Gardner · NPI 1518319946
Clinical provider in Costa Mesa, California. Individual provider, active in the CMS NPPES registry since July 9, 2016.
## Identity
- **NPI:** 1518319946 (Entity type: Individual)
- **Enumerated:** July 9, 2016
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LCSW18615 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3151 AIRWAY AVE, T2, Costa Mesa, CA 92626-4607
- **Phone:** (949) 438-2342
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): United Psychiatry, Inc. (NPI 1245943596, Mountain View, CA); Integrative Behavioral Health & Medicine, Inc. (NPI 1548910151, Los Altos, CA); Imbcs Inc (NPI 1225996721, Sacramento, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1986
## Record status
- **NPPES last updated:** June 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1518319946) · Data from the CMS NPPES public registry.