Individual provider Active NPI

Kao Houa Vang, MD

  • Family Medicine Physician
  • Clovis, CA
National Provider Identifier
1265040232
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A189871 Issued in CA
Practice address
2176 Shaw Ave
Clovis, CA 93611-8919
Phone
(559) 272-2251
Fax
(559) 272-2252
NPI assigned
Jul 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A189871 CA Primary

Addresses

Primary practice location

2176 Shaw Ave
Clovis, CA 93611-8919

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240401002490 CA Practitioner - Family Practice 0446622187 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A189871CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central California Faculty Medical Group, Inc. Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Clinica Sierra Vista CurrentSince Sep 5, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Mar 11, 2024 Accepting new patients
Sutter Valley Medical Foundation Family Medicine CurrentSince Mar 11, 2024 Accepting new patients
Clinica Sierra Vista CurrentSince Sep 5, 2025 Accepting new patients
Sutter Valley Medical Foundation Family Medicine Current Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Central California Faculty Medical Group, Inc. CurrentSince Sep 1, 2025 Accepting new patients
United Health Centers of the San Joaquin Valley Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Clinica Sierra Vista Past Accepting new patients

Locations

2176 Shaw Ave
Clovis, CA 93611
Phone (559) 272-2251

2020 Sutter Pl
Ste 101
Davis, CA 95616
Phone (530) 750-5830

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

290 N Wayte Ln
Ste 21002200
Fresno, CA 93701

1350 S Orange Ave
Fresno, CA 93702
Phone (559) 457-5400

2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200

2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545

1201 Alhambra Blvd
Ste 300
Sacramento, CA 95816
Phone (916) 451-4400

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

Interoperability endpoints

  • Direct secure messaging: kao.houa.vang.1@31788.direct.athenahealth.com
  • Direct secure messaging: kvang625376@hisp.ehr.sutterhealth.org
  • Direct secure messaging: kvang27610@clinicasierravista.direct-ci.com
  • Direct secure messaging: kao.vang.1@17661.direct.athenahealth.com

Organizations & group practices 11

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": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1265040232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211431",
            "telephone_number": "559-443-2682",
            "fax_number": "559-443-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2176 SHAW AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936118919",
            "telephone_number": "559-272-2251",
            "fax_number": "559-272-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANG",
        "first_name": "KAO HOUA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A189871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.