Active NPI
Marine Grigorian-Avakian, PA
- Physician Assistant
- Fresno, CA
National Provider Identifier
1205210309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 16481
- Practice address
- 7050 N Recreation Ave
Fresno, CA 93720-8001 - Phone
- (559) 325-3515
- NPI assigned
- Jul 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 16481 | CA | Primary |
Addresses
Primary practice location
7050 N Recreation Ave
Fresno, CA 93720-8001
Mailing address
7050 N Recreation Ave
Fresno, CA 93720-8001
Phone (559) 325-3515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16481 | CA | MD | Critical Care Certified Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresno Community Hospital and Medical Center | Past | Accepting new patients | |
| Community Foundation Medical Group | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1811258510
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437091200000",
"number": "1205210309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7050 N RECREATION AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937208001",
"telephone_number": "559-325-3515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7050 N RECREATION AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937208001",
"telephone_number": "559-325-3515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIGORIAN-AVAKIAN",
"first_name": "MARINE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-17",
"last_updated": "2015-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "16481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.