Active NPI
Ka Bao Vang, RN
- Registered Nurse
- Merced, CA
National Provider Identifier
1770976730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 758581
- Practice address
- 300 E 15TH St
Merced, CA 95341-6217 - Phone
- (209) 385-6800
- Fax
- (209) 725-3775
- NPI assigned
- Mar 13, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 758581 | CA | Primary |
Addresses
Primary practice location
300 E 15TH St
Merced, CA 95341-6217
Mailing address
PO Box 2084
Merced, CA 95344-0084
Phone (209) 385-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013030808 | Medicaid | CA |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 758581 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426204800000",
"number": "1770976730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2084",
"city": "MERCED",
"state": "CA",
"postal_code": "953440084",
"telephone_number": "209-385-6800",
"fax_number": "209-725-3775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E 15TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953416217",
"telephone_number": "209-385-6800",
"fax_number": "209-725-3775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANG",
"first_name": "KA",
"middle_name": "BAO",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-13",
"last_updated": "2015-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "758581",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013030808",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.