Individual provider Active NPI

Than Aye Aw, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Fresno, CA
National Provider Identifier
1740295419
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
A53206 Issued in CA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
770473417OtherCATAX ID
00A532060MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040317001314 CA Practitioner - Internal Medicine 2961392576 Reassigns benefits to 2 organizations

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

OrganizationSpecialtyStatusNew patients
Gettysburg Medical Clinic Inc CurrentSince Dec 20, 2025 Accepting new patients
Mountain Family Health Care Center, a Medical Corporation Clinic/Center CurrentSince Apr 7, 2026 Accepting new patients
Gettysburg Medical Clinic Inc CurrentSince Dec 20, 2025 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 PastSince Oct 20, 2024 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.