Vatsana Vongsavanh, R.N.

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

739967 Issued in CA

Practice address

1951 N Gateway Blvd Ste 103
Fresno, CA 93727-1643

Phone

(559) 255-9965

Fax

(559) 255-2871

NPI assigned

Mar 7, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Fresno Yosemite Health Care, Inc.

  • Home Health Agency
  • Fresno, CA
  • NPI 1194020727
  NPD (past)

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331078400000",
    "number": "1447524491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 N GATEWAY BLVD STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271643",
            "telephone_number": "559-255-9965",
            "fax_number": "559-255-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 N GATEWAY BLVD STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271643",
            "telephone_number": "559-255-9965",
            "fax_number": "559-255-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONGSAVANH",
        "first_name": "VATSANA",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "739967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Edward Von Kaenel II, M.D.
• Gretchen Von Protz
• Anna Elisabeth Von Reinhart, M.D.
• Matthew Von Tersch
• Heidi A Vonderheide, PA-C
• Mathew Vongtharangsy
• Leann Vongthichack
• Sandy Vongthong, LCSW
• Vida V Vongvanith, PHARM.D.
• Vons Companies Inc

• Home Health Registered Nurse in Fresno, CA
• Providers in Fresno, CA by specialty
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.