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MR. CLEVELAND EUGENE GARDNER III
NPI 1831633189
Peer Specialist in San Diego, CA

Active since December 06, 2016
3132 JEFFERSON ST, SAN DIEGO, CA 92110(619) 683-3100 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2026, May 11, 2023, Mar 22, 2023 (3 updates tracked since 2023).

About Mr. Cleveland Eugene Gardner Iii NPPES

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

MR. CLEVELAND EUGENE GARDNER III (NPI 1831633189) is an individual peer specialist in San Diego, California, licensed in California (MPSS-TWDEFS) and active in the NPI registry since December 2016. He maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1831633189
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. CLEVELAND EUGENE GARDNER III
Location Address3132 JEFFERSON STSan Diego, CA 92110-4421
Mailing Address3132 Jefferson StSan Diego, CA 92110-4421 · (619) 683-3100
Phone(619) 683-3100
Sole ProprietorNo
Enumeration DateDecember 6, 2016
Last NPPES UpdateFebruary 2, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1831633189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-TWDEFS
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 ListedCounselorTaxonomy 101Y00000X
3132 JEFFERSON ST, San Diego, CA 92110
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Secondary Practice Location 1

Location 14266 37th StSan Diego, CA 92105-1001 · Phone (858) 285-9824

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.

ISRAEL Q LIM
Licensed Vocational Nurse
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100
RICHARD REASON
Case Manager/Care Coordinator
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100
ANTONETTE ROBINSON
Counselor
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100
JESSICA GARDNER
Case Manager/Care Coordinator
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100
SADIA YUSUF
Counselor
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 318-0518
CLAIRE ELIZABETH WHITE BACHELOR OF SCIENCE
Case Manager/Care Coordinator
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100
GABRIELA BERENICE RIVERA RUIZ
Counselor
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100
SARA ASHLYN GOULD
Social Worker (Clinical)
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100

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 Cleveland Gardner's NPI number?

The NPI number for Cleveland Gardner is 1831633189. It was assigned to this individual provider in the NPPES registry on December 6, 2016.

Where is Cleveland Gardner located?

Cleveland Gardner practices at 3132 Jefferson St, San Diego, CA 92110. The listed phone number is (619) 683-3100.

What is Cleveland Gardner'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 Cleveland Gardner was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.