Thethong P Thepvong, EMT

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

E119251 Issued in CA

Practice address

900 W Belgravia Ave
Fresno, CA 93706-3909

Phone

(559) 265-2045

NPI assigned

Oct 21, 2020

Last updated

Oct 21, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Emergency Medical Technician

State licenses

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1619576576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 E GOSHEN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202621",
            "telephone_number": "559-259-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W BELGRAVIA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937063909",
            "telephone_number": "559-265-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEPVONG",
        "first_name": "THETHONG",
        "middle_name": "P",
        "credential": "EMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CA",
            "license": "E119251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Wheelchair Connection, Inc.
• The White Medical Group, Inc.
• Dawn Valerie Thekkumthottam, RN
• Leslie Themins
• Khampha Thephavong, D.O
• Vanpheng Thepvongsa
• Therapeutic Home Care LLC
• Therapeutic Pain Management (The Rehab Superstore/Feel Like A Woman)
• Therapeutic Pain Management Consultants
• Theresa L. Carter, LCSW (Theresa Carter)

• Emergency Medical Services (Emergency Medicine) Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Emergency Medical Services (Emergency Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.