Individual provider Active NPI

Andranik Avakian, PMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Clovis, CA
National Provider Identifier
1528599982
Registry record updated Jan 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95007085 Issued in CA
Practice address
255 W Bullard Ave Ste 101
Clovis, CA 93612-0861
Phone
(559) 299-2435
NPI assigned
Mar 27, 2017
Last updated
Jan 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95007085 CA Primary

Addresses

Primary practice location

255 W Bullard Ave Ste 101
Clovis, CA 93612-0861

Mailing address

2204 E Rush Ave
Fresno, CA 93730-4715
Phone (559) 709-3366

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
I20260212001487 CA Practitioner - Nurse Practitioner 1759860422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Valley Indian Health IncGroup PAC ID 9931092533, 33 clinicians

Practice addresses (Care Compare)

2740 Herndon Ave
Clovis, CA 93611-6813
Phone (559) 299-4264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95007085CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Valley Indian Health, Inc. CurrentSince Jan 5, 2026 Accepting new patients
Central Valley Indian Health, Inc Single Specialty CurrentSince Jan 5, 2026 Accepting new patients
Central Valley Indian Health, Inc Psychiatric/Mental Health CurrentSince Jan 4, 2026 Accepting new patients
Olive Leaf Family Therapy, Inc Single Specialty PastSince Aug 7, 2024 Accepting new patients
Dwight W Sievert MD Inc Single Specialty PastSince Jun 1, 2004 Accepting new patients

Locations

255 W Bullard Ave
Ste 101
Clovis, CA 93612
Phone (559) 299-2435

2740 Herndon Ave
Clovis, CA 93611
Phone (559) 299-2608

Organizations & group practices 6

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": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767225600000",
    "number": "1528599982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 E RUSH AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937304715",
            "telephone_number": "559-709-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W BULLARD AVE STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120861",
            "telephone_number": "559-299-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVAKIAN",
        "first_name": "ANDRANIK",
        "credential": "PMHNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95007085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.