MR. THEK MOUANOUTOUA (NPI# 1275772964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275772964 |
Entity Type | Individual |
Full Name | MR. THEK MOUANOUTOUA |
Credential | PA-C |
Practice Address |
4929 E Kings Canyon Rd Fresno CA 93727-3812 |
Mailing Address |
4929 E. Kings Canyon Road Fresno CA 93727-3812 |
Practice Telephone | 5592556476 |
Mailing Telephone | 5592556476 |
Enumeration Date | 2009-02-19 |
Last Update Date | 2011-12-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 20176 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4929 E KINGS CANYON RD |
City | FRESNO |
State | CA |
Zip Code | 93727-3812 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811009244 | Kongmong Moua | Physician Assistant | 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 | 2006-08-31 |
1952804684 | Maysee Yang | Social Worker | 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 | 2018-03-08 |
1154656254 | Greater Fresno Health Orgnization, Inc. | Exclusive Provider Organization | 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 | 2009-10-07 |
1164682100 | Vang Vince Moua | Physician Assistant | 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 | 2008-06-12 |
1649438425 | Hyacintha Eyiuche Agina | Nurse Practitioner | 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 | 2008-05-28 |
1922189489 | Maximo A Parayno Jr. | Psychiatry & Neurology | 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 | 2006-10-18 |
1215018783 | Hoang D Tieu | Psychiatry & Neurology | 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 | 2006-10-18 |
1811087752 | John James Lubenko | General Practice | 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 | 2006-10-13 |
1053401927 | Tou Choua Vang | Pediatrics | 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 | 2006-10-13 |
1356431217 | John Vien Dao | General Practice | 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 | 2006-10-13 |
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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 | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356951057 | Sylvia Kim Hinton | Physician Assistant | 4085 N Peach Ave Apt 204, Fresno, CA 93727-8416 | 2020-08-06 |
1790300721 | Cayla Marie Clark | Physician Assistant | 4523 N Sunnyside Ave, Fresno, CA 93727-7265 | 2020-06-16 |
1720601396 | Cynthia Thompson | Physician Assistant | 699 E Portland Ave, Fresno, CA 93720-2114 | 2020-05-18 |
1679124507 | Folawemimo Eve Oluwaseun Onigbinde | Physician Assistant | 1131 Noble Glen Dr, Fresno, TX 77545-9689 | 2019-09-23 |
1194380253 | Edgar Ivan Mercado | Physician Assistant | 1350 O St Ste 202, Fresno, CA 93721-1828 | 2019-05-04 |
1255892683 | Stephanie Tran | Physician Assistant | 6700 N 1st St Ste 131, Fresno, CA 93710-3947 | 2019-03-28 |
1942624473 | Konducive Concepts | Physician Assistant | 4006 Dogwood Bough Ln, Fresno, TX 77545-7128 | 2014-02-04 |
1568891729 | Robert Ginther | Physician Assistant | 1300 N Fresno St Ste 220, Fresno, CA 93703-3843 | 2013-11-07 |
1134472707 | Isaac Gutierrez | Physician Assistant | 4105 W Swift Ave Ste 101, Fresno, CA 93722-6386 | 2012-10-19 |
1598033078 | Omni Women's Health Medical Group | Physician Assistant | 3612 N. First St., Fresno, CA 93726 | 2011-12-12 |
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.