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Search › California › 175T00000X

Richard Bardonner, SUDRC

NPI 1659160042 · on the registry since 2025

Practice

Address
800 Scenic Dr
Modesto, CA 95350
Phone
(209) 558-4610
Organisation at this address
Bhrs
Bhrs
Genesis
Stanislaus County
Stanislaus County
Inferred from a shared address, not stated in the registry.
Clinicians at this address
173

Registry record

Primary taxonomy
175T00000X
175T00000X
Also registered as
101YA0400X
372600000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California