Airnoi N/a Phongsavath, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

293096 Issued in CA

Practice address

3103 E Cartwright Ave
Fresno, CA 93725-9385

Phone

(559) 498-7100

NPI assigned

Apr 18, 2018

Last updated

Mar 13, 2024By 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

State licenses

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1891282554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 N MILLBROOK AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031425",
            "telephone_number": "559-394-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 E CARTWRIGHT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937259385",
            "telephone_number": "559-498-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHONGSAVATH",
        "first_name": "AIRNOI",
        "middle_name": "N/A",
        "name_prefix": "Mr.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-18",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "293096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Anton Phipps, LMFT
• Thomas Phommasa, DPT
• Melodie Vatsana Phomphiphak
• Silver Sarah Phonasa
• Pathana Phonesy
• Darleen Phongsavath
• Johnny Phongsavath
• Alicia Phonsurin
• Saengsulee Phonxaylinkham
• Jaden Phouthavong

• Licensed Vocational Nurse in Fresno, CA
• Providers in Fresno, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.