Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ganna Kozyk

Individual provider Physician Assistant · NPI 1225893720

Ganna Kozyk is a Physician Assistant in Granite Bay, California. Qualified in 2024, 2 years ago. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024

Practice location Address checks out

9912 Camberly Ct
Granite Bay, CA 95746-6653
Phone: (916) 582-8533
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA65668 (CA)

Record details

NPI number1225893720
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 14, 2024
Last updated in NPPESApril 6, 2025
Certification dateApril 6, 2025
Mailing address9912 Camberly Ct, Granite Bay, CA 95746-6653

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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