MR. CLEVELAND EUGENE GARDNER NPI 1831633189

NPI Information

  • NPI: 1831633189
  • Provider Name: MR. CLEVELAND EUGENE GARDNER
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 4283 EL CAJON BLVD STE 115
    SAN DIEGO, CA
    ZIP 92105
  • Phone: (619) 521-1743

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NPI Details

MR. Cleveland Eugene Gardner is a peer specialist in San Diego, CA. The provider is 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. MR. Cleveland Eugene Gardner NPI is 1831633189. 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:

4283 EL CAJON BLVD STE 115
SAN DIEGO, CA
ZIP 92105-289
Phone: (619) 521-1743

The enumeration date for this NPI number is 12/6/2016 and was last updated on 5/11/2023.

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
1101Y00000XCounselorNo
2175T00000XPeer SpecialistYes

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: 3/30/2025

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