Individual provider Active NPI

Mai Xae Yang

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1104337104
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
153857 Issued in CA
Practice address
4871 E Kings Canyon Rd
Fresno, CA 93727-3811
Phone
(559) 390-0963
NPI assigned
Oct 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 153857 CA Primary

Addresses

Primary practice location

4871 E Kings Canyon Rd
Fresno, CA 93727-3811

Mailing address

3168 Antonio Ave
Clovis, CA 93619-8906
Phone (559) 601-9900

Other practice location 1

7120 N Marks Ave Unit 110
Fresno, CA 93711-0268
Phone (559) 439-5437 ext. 225

Other practice location 2

4855 E. Kings Canyon Rd
Fresno, CA 93727-3811
Phone (559) 390-0963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
153857CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1104337104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3168 ANTONIO AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936198906",
            "telephone_number": "559-601-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4871 E KINGS CANYON RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937273811",
            "telephone_number": "559-390-0963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7120 N Marks Ave Unit 110",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937110268",
            "country_code": "US",
            "telephone_number": "559-439-5437 x225",
            "fax_number": "559-439-5411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4855 E. Kings Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937273811",
            "country_code": "US",
            "telephone_number": "559-390-0963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "MAI",
        "middle_name": "XAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "153857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.