JENNIE W. GARY M.D. – NPI #1811359318
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

JENNIE GARY is a physician located in PASADENA, CA. NPPES has assigned the NPI number 1811359318 to JENNIE GARY on March 23, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on Apr 29, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JENNIE GARY below.

NPI Profile for
JENNIE W. GARY

NPI Number
1811359318
Enumeration Date

(more than 10 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JENNIE W. GARY
Credentials
M.D.
Primary location
2055 LINCOLN AVE
PASADENA, CA 91103-1324
Phone: (888) 499-9303 Fax: (626) 214-3865
1 Other location(s):
505 S Main St
Suite 525
Orange, CA 92868-4509
Phone: (714) 456-5631
Fax: (714) 285-0389
Mailing address
2040 CAMFIELD AVE
COMMERCE, CA 90040-1574
Phone: (888) 499-9303 Fax:
Sole Proprietor
No
Updated
Certification Date
Apr 29, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JENNIE GARY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherCA MEDICAL BOARDCAA155222
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
CA A155222

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
thechildrensclinic.org
Endpoint type
CONNECT URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
455 E COLUMBIA ST STE 201,
LONG BEACH, CA 77025-1669