Individual provider Active NPI

Kym Tong Xiong

  • Day Training/Habilitation Specialist
  • Fresno, CA
National Provider Identifier
1689737165
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Practice address
3688 E Shields Ave
Fresno, CA 93726-6922
Phone
(559) 600-4099
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X Primary
Community Health Worker 172V00000X CA
Community Health Worker 172V00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 00001083 CA
Counselor 101Y00000X
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

3688 E Shields Ave
Fresno, CA 93726-6922

Mailing address

3688 E Shields Ave
Fresno, CA 93726-6922
Phone (559) 600-4099

Other practice location 1

4441 E Cesar Chavez Blvd Bldg 340
Fresno, CA 93702-3604
Phone (559) 600-5991

Other practice location 2

4468 E Cesar Chavez Blvd Bldg 340
Fresno, CA 93702-3605
Phone (559) 287-6755

Other practice location 3

4441 E Kings Canyon Rd
4441 E. Kings Canyon Rd.
Fresno, CA 93702-3604
Phone (559) 600-4099

Other practice location 4

4417 E. Inyo St. MOD B
Fresno, CA 93702
Phone (559) 600-5991

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
00001083CAMDMental Health Clinic/Center (Including Community Mental Health Center)

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno County Mental Health (Including Community Mental Health Center) CurrentSince Jan 1, 2024 Accepting new patients
Fresno County Mental Health (Including Community Mental Health Center) Past Accepting new patients

Locations

4468 E Kings Canyon Rd
Bldg 340
Fresno, CA 93702
Phone (559) 513-5156

4417 E Inyo St
#B
Fresno, CA 93702
Phone (559) 600-5991

4441 E Kings Canyon Rd
Fresno, CA 93702
Phone (559) 453-4099

Organizations & group practices 2

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1689737165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3688 E SHIELDS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266922",
            "telephone_number": "559-600-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3688 E SHIELDS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266922",
            "telephone_number": "559-600-4099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4441 E Cesar Chavez Blvd Bldg 340",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937023604",
            "country_code": "US",
            "telephone_number": "559-600-5991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4468 E Cesar Chavez Blvd Bldg 340",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937023605",
            "country_code": "US",
            "telephone_number": "559-287-6755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4441 E Kings Canyon Rd",
            "address_2": "4441 E. Kings Canyon Rd.",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937023604",
            "country_code": "US",
            "telephone_number": "559-600-4099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4417 E. Inyo St. MOD B",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93702",
            "country_code": "US",
            "telephone_number": "559-600-5991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XIONG",
        "first_name": "KYM",
        "middle_name": "TONG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "00001083",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 7, 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.