Ivy Li-Garzona

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20757 Issued in CA

Practice address

5841 Jameson CT
Carmichael, CA 95608-0895

Phone

(916) 485-9800

NPI assigned

Jun 9, 2011

Last updated

Oct 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ivy Li Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ili136316@hisp.ehr.sutterhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Land Park Pediatric Medical Group

  • Pediatrics Physician
  • Sacramento, CA
  • NPI 1487018990
  NPD (past)
• Pediatric Medical Associates of Sacramento Inc

  dba Pediatric Associates

  • Pediatrics Physician
  • Sacramento, CA
  • NPI 1760570600
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1417242280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 JAMESON CT",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080895",
            "telephone_number": "916-485-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 JAMESON CT",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080895",
            "telephone_number": "916-485-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4617 Freeport Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958222015",
            "country_code": "US",
            "telephone_number": "916-422-7273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI-GARZONA",
        "first_name": "IVY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVY",
            "last_name": "LI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eva Y Lew, MD
• Lesley M Lewis-Patty, MA
• Debra Lewis
• Dianah Lynn Lewis
• Simone Yvonne Lewis
• Franklin Li, M.D.
• Hong Ying Li, MD
• Mingqing Li, M.D.
• Tiffany Lichwa
• Alysia L Liddell, PH.D.

• Family Nurse Practitioner in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.