Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. LIDA AVETISYAN MD
NPI 1487334553
Internal Medicine in Fresno, CA

Active since July 24, 2023
1221 E SPRUCE AVE, FRESNO, CA 93720(559) 450-5777(559) 450-5687 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 6, 2026, Jul 24, 2023 (2 updates tracked since 2023).

About Dr. Lida Avetisyan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LIDA AVETISYAN MD (NPI 1487334553) is an individual internal medicine provider in Fresno, California, licensed in California (A209872) and active in the NPI registry since July 2023. She maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1487334553
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. LIDA AVETISYANCredential: MD
Location Address1221 E SPRUCE AVEFresno, CA 93720-3374
Mailing Address1111 E Spruce Ave Ste 431Fresno, CA 93720-3330 · (559) 450-7449 · Fax (559) 450-7472
Fax(559) 450-5687
Sole ProprietorNo
Enumeration DateJuly 24, 2023
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
NPI 1487334553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A209872
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1221 E SPRUCE AVE, Fresno, CA 93720

Secondary Practice Location 1

Location 1234 E 149th StBronx, NY 10451-5504 · Phone (718) 579-5000

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1221 E SPRUCE AVE
FRESNO, CA 93720
Physical Medicine & Rehabilitation
1221 E SPRUCE AVE
FRESNO, CA 93720
Psychiatry & Neurology (Psychiatry)
1221 E SPRUCE AVE
FRESNO, CA 93720
Family Medicine
1221 E SPRUCE AVE
FRESNO, CA 93720
Internal Medicine
1221 E SPRUCE AVE
FRESNO, CA 93720
Family Medicine
1221 E SPRUCE AVE
FRESNO, CA 93720
Internal Medicine
1221 E SPRUCE AVE
FRESNO, CA 93720
Internal Medicine
1221 E SPRUCE AVE
FRESNO, CA 93720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lida Avetisyan's NPI number?

The NPI number for Lida Avetisyan is 1487334553. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Lida Avetisyan located?

Lida Avetisyan practices at 1221 E Spruce Ave, Fresno, CA 93720. The listed phone number is (559) 450-5777.

What is Lida Avetisyan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Lida Avetisyan was last updated on July 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.