DR. IVY HERNANDEZ GARDNER MD NPI 1972967008

NPI Information

  • NPI: 1972967008
  • Provider Name: DR. IVY HERNANDEZ GARDNER, MD
  • Classification: Colon & Rectal Surgery - 208C00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2725 CAPITOL AVE DEPT 402
    SACRAMENTO, CA
    ZIP 95816
  • Phone: (916) 262-9500

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NPI Details

DR. Ivy Hernandez Gardner, MD is a colon rectal surgery in Sacramento, CA with 10 years of experience. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. DR. Ivy Hernandez Gardner, MD NPI is 1972967008. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

2725 CAPITOL AVE DEPT 402
SACRAMENTO, CA
ZIP 95816-032
Phone: (916) 262-9500
Fax: (916) 262-9502

The NPI 1972967008 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Colonoscopy (HCPCS:NAN13)

The enumeration date for this NPI number is 4/5/2016 and was last updated on 8/29/2024.

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
1208C00000XColon & Rectal SurgeryA185167CALIFORNIAYes

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: 11/21/2025

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