DR. JEFFRY D CARDNEAU MD NPI 1174528889

NPI Information

NPI: 1174528889
Provider Name: DR. JEFFRY D CARDNEAU, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
99 MONTECILLO RD
MOB 1, 2ND FLOOR, DEPARTMENT OF SURGERY
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 444-3131
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DR. Jeffry D Cardneau, MD is a vascular surgery surgery in San Rafael, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Jeffry D Cardneau, MD NPI is 1174528889. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

99 MONTECILLO RD
MOB 1, 2ND FLOOR, DEPARTMENT OF SURGERY
SAN RAFAEL, CA
ZIP 94903-308
Phone: (415) 444-3131

The NPI 1174528889 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/17/2005 and was last updated on 12/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	24944	OREGON	No
2	2086S0129X	Surgery	Vascular Surgery	A77313	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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