Active NPI
Pangdao Thao, MASTERS
- Mental Health Counselor
- Fresno, CA
National Provider Identifier
1285971572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 22335
- Practice address
- 4855 E Kings Canyon Road
Fresno, CA 93727-3811 - Phone
- (559) 390-0963
- NPI assigned
- Jan 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 22335 | CA | Primary |
Addresses
Primary practice location
4855 E Kings Canyon Road
Fresno, CA 93727-3811
Mailing address
4879 E Cesar Chavez Blvd
Fresno, CA 93727-3811
Phone (559) 255-8395
Other practice location 1
4871 E Kings Canyon Road
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22335 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Fresno Center | Past | Accepting new patients | |
| The Fresno Center | Mental Health | Past | Accepting new patients |
| The Fresno Center | Past | Accepting new patients |
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.
-
- Psychiatry Physician
- Fresno, CA
- NPI 1437347721
-
- Adult Day Care Clinic/Center
- Fresno, CA
- NPI 1770197659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1285971572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4879 E CESAR CHAVEZ BLVD",
"city": "FRESNO",
"state": "CA",
"postal_code": "937273811",
"telephone_number": "559-255-8395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4855 E KINGS CANYON ROAD",
"city": "FRESNO",
"state": "CA",
"postal_code": "937273811",
"telephone_number": "559-390-0963"
}
],
"practiceLocations": [
{
"address_1": "4871 E Kings Canyon Road",
"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": "THAO",
"first_name": "PANGDAO",
"credential": "MASTERS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-07",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "22335",
"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.