VILLA PHANVONG (NPI# 1780746537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780746537 |
| Entity Type | Individual |
| Full Name | VILLA PHANVONG |
| Practice Address |
2171 N Fine Ave Fresno CA 93727-1519 |
| Practice Telephone | 5594552100 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2171 N FINE AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93727-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578622395 | Michele Morgan Laffen | Marriage & Family Therapist | 2171 N Fine Ave, Fresno, CA 93727-1519 | 2006-12-07 |
| 1285813022 | Donna Louise Nunes | Rehabilitation Counselor | 2171 N Fine Ave, Fresno, CA 93727-1519 | 2007-10-29 |
| 1689700411 | Fresno County Center for Recovery, Empowerment & Wellness (crew) | Clinic/Center | 2171 N Fine Ave, Fresno, CA 93727-1519 | 2007-02-26 |
| 1740335736 | Richard O Salas | Rehabilitation Practitioner | 2171 N Fine Ave, Fresno, CA 93727-1519 | 2007-01-23 |
| 1376608828 | Marsha Joahn Gill | Rehabilitation Practitioner | 2171 N Fine Ave, Fresno, CA 93727-1519 | 2006-12-26 |
| 1093877755 | Mary Helen Martinez | Rehabilitation Practitioner | 2171 N Fine Ave, Fresno, CA 93727-1519 | 2006-12-15 |
| 1699837567 | Richard Paul Morgott | Marriage & Family Therapist | 2171 N Fine Ave, Fresno, CA 93727-1519 | 2006-12-15 |
| 1790847432 | Noulee Xiong | Rehabilitation Practitioner | 2171 N Fine Ave, Fresno, CA 93727-1519 | 2006-12-15 |
| 1336201078 | Sandra Nelson | Social Worker | 2171 N Fine Ave, Fresno, CA 93727-1519 | 2006-12-15 |
| 1912068651 | Terisa Lee | Case Manager/Care Coordinator | 2171 N Fine Ave, Fresno, CA 93727-1519 | 2006-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427524354 | Travis L Minor | Driver | 4573 Kings Canyon Rd, Freso, CA 93727 | 2018-10-18 |
| 1780178921 | Amanda Hernandez | Behavior Technician | 6358 E Mono St, Fresno, CA 93727 | 2018-06-20 |
| 1225533169 | Lindsay Fisher | Marriage & Family Therapist | 4928 E Clinton Way Ste 108, Fresno, CA 93727 | 2018-03-23 |
| 1811351992 | Paulinder Ranu | Pediatrics | 5557 E King Cyn Rd, Fresno, CA 93727 | 2016-04-05 |
| 1851781371 | Sheri Taylor | Social Worker | 2010 N Fine Ave # 105, Fresno, CA 93727 | 2015-02-04 |
| 1770917486 | Elouise Jones-green | Counselor | 4491 E. Mckinley Ave #112, Fresno, CA 93727 | 2013-08-29 |
| 1700227022 | Chee Vang | Counselor | 4855 E Kings Canyon Rd Ste 105, Fresno, CA 93727 | 2013-07-15 |
| 1578839791 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 5995 E Kings Canyon Rd, Fresno, CA 93727 | 2012-04-02 |
| 1932411378 | Leticia Ball | Marriage & Family Therapist | 4944 E. Clinton Way, Fresno, CA 93727 | 2010-07-13 |
| 1639308158 | Juanita Sermeno | Counselor | 4944 E. Clinton, Suite 101, Fresno, CA 93727 | 2009-07-06 |
| Find all providers in zip 93727 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316472517 | Samantha Ortiz | Rehabilitation Practitioner | 6121 N Thesta St Ste 304, Fresno, CA 93710-5294 | 2017-04-25 |
| 1124292453 | Michael Joseph Downing | Rehabilitation Practitioner | 3017 W Bullard Ave, Fresno, CA 93711-1609 | 2008-04-17 |
| 1760539993 | Lydia Janett Allen | Rehabilitation Practitioner | 205 N Blackstone Ave, Fresno, CA 93701-1914 | 2007-01-03 |
| 1679113898 | Sheila Barth | Rehabilitation Practitioner | 6121 N Thesta St Ste 304, Fresno, CA 93710-5294 | 2020-01-15 |
| 1609379213 | Michelle Brianna Rose Duran | Rehabilitation Practitioner | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2018-03-10 |
| 1073644761 | Conni Washington | Rehabilitation Practitioner | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2007-03-07 |
| 1245360585 | Dale Ray Lacy Jr. | Rehabilitation Practitioner | 3147 N Millbrook Ave, Fresno, CA 93703-1425 | 2007-03-06 |
| 1780713396 | John J Velasco | Rehabilitation Practitioner | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2007-03-02 |
| 1730218298 | Yvonne Gravelle | Rehabilitation Practitioner | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2007-03-02 |
| 1225166002 | Consuelo Gonzalez-perez | Rehabilitation Practitioner | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2007-03-01 |
| Find all providers in FRESNO | ||||
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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.