NPPES file of Aug 9, 2026

Lany Sivongsay Avakian, NP

Nurse Practitioner · Fresno, CA

Lany Sivongsay Avakian, NP is a nurse practitioner with a practice address in Fresno, California, and NPI 1689849879, issued on Apr 28, 2008. Check the license (California NP17618, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1689849879
Name
Lany Sivongsay Avakian
Credential
NP
Primary taxonomy
Nurse Practitioner 363L00000X
License number
NP17618 CA
Self-reported in NPPES; status is on the state search
Practice location
6121 N Thesta St, Fresno, CA 93710
Phone
(559) 438-7390
Enumerated
Apr 28, 2008
Record last updated
Oct 16, 2013 (not updated in 13 years: call before relying on the address or phone)
Fax
(559) 438-7166
Medicaid ID
1689849879 CA
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 6121 N Thesta St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jared Adams, PAPhysician Assistant1962537852
  2. Elizabeth DealbaRecreation Therapist1710559364
  3. Matthew Debenedetto, PAPhysician Assistant1235338484
  4. Lisa Golik, M.D.Obstetrics & Gynecology Physician1992977888
  5. Salvador GonzalesRecreation Therapist1780236646
  6. Matthew Paliughi, PHARMDPharmacist1184167520

Verify Lany Sivongsay Avakian in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license NP17618
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the California license search

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98% fewer Medicare Part D claims than the average nurse practitioner in 2024

24 Medicare Part D claims for 19 beneficiaries, against an average of 1,109 among the 54,319 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.

  1. Lany Avakian24
  2. Specialty average1,109

Most prescribed

  1. Anastrozole11 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 85.8 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score91.3
  2. Costout of 100 · 30%61.3
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $106.21

1 payment: food and beverage; the largest payer was PharmaEssentia USA Corporation. The 38,884 providers of this specialty with any payment received $791.64 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Lany Avakian$106.21
  2. Specialty average$791.64

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

210 nurse practitioner records list a practice address in Fresno

They are 210 of the 19,440 NPPES records with a practice address in Fresno, and 8,223 nurse practitioner records in California.

Other nurse practitioner records in California

  1. Barbara Aaronson, RN/NURSE PRACTITONERLos Angeles, CA1588988182
  2. Albert Aba, AGNPSan Francisco, CA1578353777
  3. Martha Ababneh, CNAEl Monte, CA1275118614
  4. Maria Katrina Abad, AGPCNP-BCSan Carlos, CA1306394952
  5. Shayda Abadi, NPPalo Alto, CA1316745540
  6. Jessika Abarca, NPSan Fernando, CA1972263945
  7. Hangama Abassi, N.P.Walnut Creek, CA1487083655
  8. Elizabeth Abaunza, NPSan Francisco, CA1962044347
  9. Honeylynn Abaya, NPMoreno Valley, CA1528799145
  10. Tara Abbondanza, NPArcadia, CA1730355173

Common questions

What is Lany Sivongsay Avakian, NP's NPI number?

Lany Sivongsay Avakian, NP's National Provider Identifier (NPI) is 1689849879, issued on Apr 28, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Lany Sivongsay Avakian, NP located?

The NPPES record lists a practice address at 6121 N Thesta St, Fresno, CA, 93710. Phone: (559) 438-7390. Providers update this record themselves, so call before visiting.

How can I verify Lany Sivongsay Avakian, NP's license?

NPPES lists California license number NP17618, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

How much does Lany Sivongsay Avakian, NP prescribe under Medicare Part D?

In 2024, Lany Sivongsay Avakian, NP had 24 Medicare Part D claims for 19 beneficiaries; the average among nurse practitioner prescribers was 1,109. Part D covers Medicare prescriptions only.

What is Lany Sivongsay Avakian, NP's MIPS final score?

The 2023 MIPS final score is 85.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.