MR. KEVIN PANYANOUVONG (NPI# 1033245857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033245857 |
| Entity Type | Individual |
| Full Name | MR. KEVIN PANYANOUVONG |
| Credential | MSW |
| Practice Address |
1100 Kansas Ave Ste A Modesto CA 95351-1596 |
| Practice Telephone | 2095587475 |
| Practice Fax Number | 2095584042 |
| Mailing Telephone | 2095587475 |
| Mailing Fax Number | 2095584042 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
1100 KANSAS AVE STE A |
| City | MODESTO |
| State | CA |
| Zip Code | 95351-1596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154441806 | Alex Loya Jr. | Counselor | 1100 Kansas Ave Ste A, Modesto, CA 95351-1596 | 2007-03-29 |
| 1811016074 | Anita G Perez | Counselor | 1100 Kansas Ave Ste A, Modesto, CA 95351-1596 | 2007-03-28 |
| 1558489229 | Donald Jefferson Arney | Counselor | 1100 Kansas Ave Ste A, Modesto, CA 95351-1596 | 2007-03-27 |
| 1811026818 | Emma Denise Chavez | Case Manager/Care Coordinator | 1100 Kansas Ave Ste A, Modesto, CA 95351-1596 | 2007-03-05 |
| 1245369222 | Alma R. Torres | Case Manager/Care Coordinator | 1100 Kansas Ave Ste A, Modesto, CA 95351-1596 | 2007-03-05 |
| 1588791420 | Roxanne C Boddie | Counselor | 1100 Kansas Ave Ste A, Modesto, CA 95351-1596 | 2007-02-27 |
| 1912034281 | Sheree D Frazier | Counselor | 1100 Kansas Ave Ste A, Modesto, CA 95351-1596 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392487 | Western Dental Services, Inc. | Dentist | 1524 Richland Ave, Ceres, CA 95351 | 2017-12-18 |
| 1881039873 | Sabrina Arora-thissen | Family Medicine | 401 Paradise Rd. Ste, Modesto, CA 95351 | 2013-05-03 |
| 1407163561 | Maliza Cahee Oliver | Dentist | 1404 Mitchell Rd, Modesto, CA 95351 | 2010-09-09 |
| 1124345616 | Jason Lee Paul Wayrynen | Social Worker | 1219 N Carpenter Rd Ste 12, Modesto, CA 95351 | 2010-04-23 |
| 1841469640 | Edgar Hse-hwa Han | Physical Medicine & Rehabilitation | 1521 N. Carpenter Road, Suite D-1, Modesto, CA 95351 | 2008-02-26 |
| 1326259326 | Karen Ann Peterson | Nurse Practitioner | 1340 Mitchell Rd, Modesto, CA 95351 | 2007-05-24 |
| 1013139054 | Bounchanh Trysavath | Physician Assistant | 300 I St, Modesto, CA 95351 | 2007-05-02 |
| 1245363464 | Sharon Basaldua1 | Counselor | 813 Moon Lane, Modesto, CA 95351 | 2007-03-14 |
| 1710046834 | Phil Chen | Dentist | 1460 Mitchell Road, Suite B, Modesto, CA 95351 | 2006-12-06 |
| 1649366055 | Victor Y. Chen | Family Medicine | 401 Paradise Road, Suite E, Modesto, CA 95351 | 2006-10-04 |
| Find all providers in zip 95351 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378408 | Amelia Ann Garcia | Counselor | 1004 Whitemarsh Way, Modesto, CA 95356-1237 | 2020-08-28 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1720463029 | Valerie Kristine Seagle | Counselor | 615 13th St Ste B1, Modesto, CA 95354-2456 | 2015-07-28 |
| 1952702706 | Michelle Ann Culver | Counselor | 4640 Spyres Way Ste 7, Modesto, CA 95356-9800 | 2014-09-11 |
| 1942601398 | Brianna Bossard | Counselor | 1231 8th St Ste 775, Modesto, CA 95354-2232 | 2014-09-04 |
| 1043619380 | Fanny Cortez | Counselor | 121 Downey Ave Apt 120, Modesto, CA 95354-1208 | 2014-08-21 |
| 1548669500 | Shannon Breckenridge | Counselor | 1800 Tully Rd # Stua-2, Modesto, CA 95350-2946 | 2014-08-15 |
| 1639503352 | Nicole Valadao | Counselor | 2625 F Coffee Rd # 132, Modesto, CA 95355-2053 | 2013-08-29 |
| 1942633979 | Monika Nicole Teves | Counselor | 504 King Richard Ln, Modesto, CA 95350-1532 | 2013-08-13 |
| 1700156007 | Erin L Black | Counselor | 426 14th St Ste 119, Modesto, CA 95354-2661 | 2012-01-04 |
| Find all providers in MODESTO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.