Active NPI
Than Aye Aw, MD
- Geriatric Medicine (Internal Medicine) Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- A53206
- Practice address
- 5088 N Fresno St Ste 104
Fresno, CA 93710-7611 - Phone
- (559) 222-9362
- Fax
- (559) 222-9369
- NPI assigned
- Jul 30, 2006
- Last updated
- Jan 22, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | A53206 | CA | |
| Skilled Nursing Facility | 314000000X | A53206 | CA | |
| Acupuncturist | 171100000X | A53206 | CA | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | A53206 | CA | Primary |
Addresses
Primary practice location
5088 N Fresno St Ste 104
Fresno, CA 93710-7611
Mailing address
143 W Main St Ste 104
Merced, CA 95340-4930
Phone (209) 725-2060
Other practice location 1
143 W Main St
Merced, CA 95340-4930
Phone (209) 725-2060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 770473417 | Other | CA | TAX ID |
| 00A532060 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5187 N 1St St
Suite 105
Fresno, CA 93710-7896
Phone (559) 226-6796
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gettysburg Medical Clinic Inc | Current | Accepting new patients | |
| Mountain Family Health Care Center, a Medical Corporation | Clinic/Center | Current | Accepting new patients |
| Gettysburg Medical Clinic Inc | Current | Accepting new patients | |
| Gettysburg Medical Clinic, Inc. | Past | Accepting new patients | |
| Gettysburg Medical Clinic Inc | Past | Accepting new patients | |
| Eudaemonia, a Nursing Practice Professional Corporation | Clinic/Center | Past | Accepting new patients |
| James Eisenberg MD Inc | Clinic/Center | Past | Accepting new patients |
| 1Lab Inc. | Past | Accepting new patients |
Locations
5088 N Fresno St
Fresno, CA 93710
Phone (559) 244-6360
5088 N Fresno St
Ste 104
Fresno, CA 93710
Phone (559) 222-9362
5187 N 1st St
Ste 105
Fresno, CA 93710
Phone (559) 226-6796
143 W Main St
Merced, CA 95340
Phone (209) 725-2060
143 W Main St
Ste 104
Merced, CA 95340
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mountain Family Health Care Center
- Family Medicine Physician
- Fresno, CA
- NPI 1053560029
Clinic/Center
-
- Multi-Specialty Clinic/Center
- Fresno, CA
- NPI 1063519858
-
- Primary Care Clinic/Center
- Modesto, CA
- NPI 1033580931
-
- Primary Care Clinic/Center
- Atwater, CA
- NPI 1174989594
-
- Clinical Medical Laboratory
- Fresno, CA
- NPI 1992631261
-
dba Eudaemonia
- General Practice Physician
- Fresno, CA
- NPI 1730909979
Clinic/Center
-
- General Practice Physician
- Fresno, CA
- NPI 1609112499
-
- Multi-Specialty Clinic/Center
- Merced, CA
- NPI 1023116589
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Medical Center Merced
- General Acute Care Hospital
- Merced, CA
- NPI 1518018191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1740295419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 W MAIN ST STE 104",
"city": "MERCED",
"state": "CA",
"postal_code": "953404930",
"telephone_number": "209-725-2060",
"fax_number": "209-725-2072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5088 N FRESNO ST STE 104",
"city": "FRESNO",
"state": "CA",
"postal_code": "937107611",
"telephone_number": "559-222-9362",
"fax_number": "559-222-9369"
}
],
"practiceLocations": [
{
"address_1": "143 W Main St",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "953404930",
"country_code": "US",
"telephone_number": "209-725-2060",
"fax_number": "209-725-2072",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AW",
"first_name": "THAN",
"middle_name": "AYE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CA",
"license": "A53206",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "A53206",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "A53206",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CA",
"license": "A53206",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "770473417",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A532060",
"state": "CA"
}
],
"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 Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.