Individual provider Active NPI

Chio Chanh Saephanh, FNP

  • Family Nurse Practitioner
  • Merced, CA
National Provider Identifier
1003268434
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95005472 Issued in CA
Practice address
127 W El Portal Dr
Merced, CA 95348-2853
Phone
(209) 723-3704
Fax
(209) 723-0272
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 746562 CA
Family Nurse Practitioner 363LF0000X 95005472 CA Primary

Addresses

Primary practice location

127 W El Portal Dr
Merced, CA 95348-2853

Mailing address

PO Box 3768
Merced, CA 95344-3768
Phone (209) 725-7149

Other practice location 1

374 W Olive Ave Ste B
Merced, CA 95348-3181
Phone (209) 383-3076

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chio.saephanh.1@3012.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250731002989 CA Practitioner - Nurse Practitioner 1658889761 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Merced Faculty Associates Medical Group Incorporated Current Accepting new patients
Merced Faculty Associates Medical Group Incorporated CurrentSince Jun 24, 2025 Accepting new patients
Merced Faculty Associates Medical Group Incorporated CurrentSince Jun 24, 2025 Accepting new patients

Locations

374 W Olive Ave
Ste B
Merced, CA 95348
Phone (209) 383-3076

127 W El Portal Dr
Merced, CA 95348
Phone (209) 723-3704

535 W 25th St
Merced, CA 95340
Phone (209) 722-9066

Interoperability endpoints

  • Direct secure messaging: chio.saephanh.1@3012.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1003268434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3768",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953443768",
            "telephone_number": "209-725-7149",
            "fax_number": "209-726-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W EL PORTAL DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482853",
            "telephone_number": "209-723-3704",
            "fax_number": "209-723-0272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "374 W Olive Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953483181",
            "country_code": "US",
            "telephone_number": "209-383-3076",
            "fax_number": "209-383-6301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAEPHANH",
        "first_name": "CHIO",
        "middle_name": "CHANH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "746562",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chio.saephanh.1@3012.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "127 W El Portal Dr",
            "city": "Merced",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953482853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.