Individual provider Active NPI

Nazeli Natalie Shishoyan, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Clovis, CA
National Provider Identifier
1033812284
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
95026993 Issued in CA
Practice address
726 N Medical Center Dr E Ste 223
Clovis, CA 93611-6886
Phone
(559) 472-4255
NPI assigned
Mar 27, 2023
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95026993 CA
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 95026993 CA Primary

Addresses

Primary practice location

726 N Medical Center Dr E Ste 223
Clovis, CA 93611-6886

Mailing address

PO Box 889442
Los Angeles, CA 90088-9442

Other identifiers 1

IdentifierTypeStateIssuer
1033812284MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231107000836 CA Practitioner - Nurse Practitioner 9739536137 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Faculty Associates, Inc. Obstetrics & Gynecology CurrentSince Dec 1, 2023 Accepting new patients
Community Health Partners CurrentSince Nov 24, 2025 Accepting new patients

Locations

726 N Medical Center Dr E
Ste 201
Clovis, CA 93611
Phone (559) 224-5864

726 N Medical Center Dr E
Ste 223
Clovis, CA 93611
Phone (559) 472-4255

2210 E Illinois Ave
Ste 408
Fresno, CA 93701
Phone (559) 443-2694

2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545

2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100

2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

Interoperability endpoints

  • Direct secure messaging: nazeli.shishiryan.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1033812284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 889442",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900889442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 N MEDICAL CENTER DR E STE 223",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116886",
            "telephone_number": "559-472-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHISHOYAN",
        "first_name": "NAZELI",
        "middle_name": "NATALIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95026993",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "95026993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033812284",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.