Individual provider Active NPI

Shant Avedis Krikorian, PA-C

  • Physician Assistant
  • Fresno, CA
National Provider Identifier
1992689780
Registry record updated Jan 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA66841 Issued in CA
Practice address
276 N Abby St
Fresno, CA 93701-1903
Phone
(559) 594-3144
NPI assigned
Aug 4, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA66841 CA Primary

Addresses

Primary practice location

276 N Abby St
Fresno, CA 93701-1903

Mailing address

276 N Abby St
Fresno, CA 93701-1903
Phone (559) 594-3144

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
I20260130001739 CA Practitioner - Physician Assistant 5799263836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3000 S Robertson Blvd
Suite 280
Los Angeles, CA 90034-3144

428 E Shields Ave Apt
Suite 102
Fresno, CA 93704-4635

Hospital & facility affiliations

  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057
  • Adventist Health Hanford Hospital, Hanford, CA, CCN 050121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
66841CAMDClinical Social Worker
PA66841CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Community Health Center, Inc CurrentSince Dec 29, 2025 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Dec 29, 2025 Accepting new patients
Complete Care Community Health Center, Inc Past Accepting new patients
Sunmed Health and Weight Management a Professional Med Corp Past Accepting new patients
Complete Care Community Health Center, Inc Past Accepting new patients

Locations

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700

220 S Akers St
Ste D
Visalia, CA 93291
Phone (559) 594-3144

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768089600000",
    "number": "1992689780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 N ABBY ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937011903",
            "telephone_number": "559-594-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 N ABBY ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937011903",
            "telephone_number": "559-594-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIKORIAN",
        "first_name": "SHANT",
        "middle_name": "AVEDIS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-04",
        "last_updated": "2026-01-11",
        "certification_date": "2026-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA66841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.