Ivan Dzyuba, FNP
NPI 1508675216 · Nurse Practitioner · Carmichael, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ivan Dzyuba, FNP is a Nurse Practitioner provider in Carmichael, CA (NPI 1508675216).
Provider details
- NPI number
- 1508675216
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 95032393 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 7517 La Tour DrSacramento, CA 95842-1546Phone: (916) 216-1876Fax: (279) 242-3217
Registry dates
- Enumerated
- 2025-01-06
- Last updated
- 2025-08-25
- Certified
- 2025-08-25
Frequently asked questions
- What is Ivan Dzyuba's NPI number?
- Ivan Dzyuba's National Provider Identifier (NPI) is 1508675216, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ivan Dzyuba's specialty?
- Ivan Dzyuba is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ivan Dzyuba located?
- Ivan Dzyuba's practice location on file with NPPES is 5900 Coyle Ave Ste a, Carmichael, CA 95608-0400.
- What is Ivan Dzyuba's phone number?
- The practice phone number listed in the NPPES registry for Ivan Dzyuba is (916) 330-4447.
- Does Ivan Dzyuba accept Medicare?
- Ivan Dzyuba is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ivan Dzyuba's NPI active?
- Yes — Ivan Dzyuba's NPI (1508675216) is active in the NPPES registry as of the last update on 2025-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.