Eriknaz Koroyan, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95021919 Issued in CA

Practice address

3656 W Shaw Ave
Fresno, CA 93711-3231

Phone

(559) 355-8430

Fax

(559) 369-7529

NPI assigned

Jun 16, 2023

Last updated

Nov 19, 2023By 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

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CJJGBD/Endpoint/CJJGBD

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.

• California Dreams Medical Corporation PC

  dba American Family Care

  • Urgent Care Clinic/Center
  • Fresno, CA
  • NPI 1487299699
  Medicare reassignment NPD
• El Portal Radiation Oncology Center

  • Radiation Oncology Physician
  • Merced, CA
  • NPI 1902062136
  NPD
• Affiliated Physician Practice Inc

  • Internal Medicine Physician
  • Madera, CA
  • NPI 1245637560
  NPD (past)
• Diego G Allende a Medical Corporation

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1033266184
  NPD (past)
• Saint Agnes Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1205845567
  NPD (past)

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700352000000",
    "number": "1174208227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10802 N EAGLE CREST LN",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937303594",
            "telephone_number": "559-960-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3656 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113231",
            "telephone_number": "559-355-8430",
            "fax_number": "559-369-7529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6234 N 1st St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105446",
            "country_code": "US",
            "telephone_number": "559-435-5727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOROYAN",
        "first_name": "ERIKNAZ",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-11-19",
        "certification_date": "2023-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maciej J Kopacz, M.D.
• Sharon Monica Kopacz, MD
• Nicole Marie Kopari, MD
• Dawnette Kopfman
• Hailey Kopp
• Sarah Koser
• Gayane Koshkakaryan, DO
• Mari Koshkakaryan, PHARMD
• Krystle Ann Koslan
• Polo Kostecki, DO

• Family Nurse Practitioner in Fresno, CA
• Providers in Fresno, 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 Nov 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.