DR. LIJAH VANN GARDNER DO
NPI 1437807039
Internal Medicine in Beale Afb, CA
About Dr. Lijah Vann Gardner Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LIJAH VANN GARDNER DO (NPI 1437807039) is an individual internal medicine provider in Beale Afb, California, licensed in California (20A22092) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Lijah Vann Gardner Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Lijah Vann Gardner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BEALE AFB, CA 95903
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lijah Vann Gardner's NPI number?
The NPI number for Lijah Vann Gardner is 1437807039. It was assigned to this individual provider in the NPPES registry on March 13, 2022.
Where is Lijah Vann Gardner located?
Lijah Vann Gardner practices at 15301 Warren Shingle Rd, Beale Afb, CA 95903. The listed phone number is (530) 634-2941.
What is Lijah Vann Gardner's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Lijah Vann Gardner enrolled in Medicare?
Yes. Lijah Vann Gardner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Lijah Vann Gardner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lijah Vann Gardner reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lijah Vann Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lijah Vann Gardner was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Lijah Vann Gardner, DO · NPI 1437807039
Internal Medicine physician in Beale Afb, California. Individual provider, active in the CMS NPPES registry since March 13, 2022.
## Identity
- **NPI:** 1437807039 (Entity type: Individual)
- **Enumerated:** March 13, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 20A22092 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 15301 WARREN SHINGLE RD, Beale Afb, CA 95903-1905
- **Phone:** (530) 634-2941
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1437807039) · Data from the CMS NPPES public registry.