Ganna Kozyk

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA65668 Issued in CA

Practice address

9912 Camberly CT
Granite Bay, CA 95746-6653

Phone

(916) 582-8533

NPI assigned

Feb 14, 2024

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

Physician Assistant

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley View Healthcare Services LLC Home health agency, Chico, CA, CCN 559751

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Ghods Inc

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1790344869
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Valley View Healthcare Services LLC

  • Home Health Agency
  • Chico, CA
  • NPI 1083207237
  Care Compare affiliation

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743897600000",
    "number": "1225893720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9912 CAMBERLY CT",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466653",
            "telephone_number": "916-582-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9912 CAMBERLY CT",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466653",
            "telephone_number": "916-582-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZYK",
        "first_name": "GANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2025-04-06",
        "certification_date": "2025-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA65668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Knobel
• Richard Koenig
• Brian Kolodin
• Paige Kolodin
• Reya Kost, PSYD, LMFT
• Anjana Kumari
• Bitisho B Kyubwa
• Lakeside Senior Living of Granite Bay
• Cierrah Lambert
• Diana Nguyen Lau

• Physician Assistant in Granite Bay, CA
• Providers in Granite Bay, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2025; 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.