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RICHARD BARDONNER SUDRC
NPI 1659160042
Peer Specialist in Modesto, CA

Active since May 02, 2025
800 SCENIC DR, MODESTO, CA 95350(209) 558-4610 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 9, 2025, May 16, 2025 (2 updates tracked since 2025).

About Richard Bardonner Sudrc NPPES

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

RICHARD BARDONNER SUDRC (NPI 1659160042) is an individual peer specialist in Modesto, California, licensed in California (MPSS-SOZKEW) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1659160042
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameRICHARD BARDONNERCredential: SUDRC
Location Address800 SCENIC DRModesto, CA 95350-6131
Mailing Address800 Scenic DrModesto, CA 95350-6131 · (209) 558-4610
Phone(209) 558-4610
Sole ProprietorNo
Enumeration DateMay 2, 2025
Last NPPES UpdateOctober 21, 20252 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
✔ NPI 1659160042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-SOZKEW
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 20255 (CA)
Also ListedAdult CompanionTaxonomy 372600000X
800 SCENIC DR, Modesto, CA 95350
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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.

SHERRY MONIQUE ANGE RN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
800 SCENIC DR
MODESTO, CA 95350
Stanislaus County (209) 525-6070
MS. LORI KIM MCKINNEY
Case Manager/Care Coordinator
800 SCENIC DR
MODESTO, CA 95350
Stanislaus County (209) 567-4752
MS. MARY JEAN GORALKA MFT
Marriage & Family Therapist
800 SCENIC DR
MODESTO, CA 95350
Stanislaus County (209) 525-7339
MR. KEVIN PANYANOUVONG LCSW
Social Worker (Clinical)
800 SCENIC DR
MODESTO, CA 95350
Stanislaus County (209) 525-6225
COUNTY OF STANISLAUS
Community/Behavioral Health
800 SCENIC DR
MODESTO, CA 95350
Stanislaus County (209) 525-6225
PETRA OROZCO-POUST
Counselor (Professional)
800 SCENIC DR
MODESTO, CA 95350
Stanislaus County (209) 525-5087
STANISLAUS COUNTY BHRS
Community/Behavioral Health
800 SCENIC DR
MODESTO, CA 95350
Stanislaus County (209) 525-6011
SARAH KNEE
Marriage & Family Therapist
800 SCENIC DR, BLDG 4
MODESTO, CA 95350
Stanislaus County (209) 605-3777

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 Richard Bardonner's NPI number?

The NPI number for Richard Bardonner is 1659160042. It was assigned to this individual provider in the NPPES registry on May 2, 2025.

Where is Richard Bardonner located?

Richard Bardonner practices at 800 Scenic Dr, Modesto, CA 95350. The listed phone number is (209) 558-4610.

What is Richard Bardonner's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Richard Bardonner was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.