Individual provider Active NPI

Bao Vang

  • School Social Worker
  • Fresno, CA
National Provider Identifier
1902481401
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
132441 Issued in CA
Practice address
2011 Fresno St
Fresno, CA 93721-1722
Phone
(559) 457-6088
NPI assigned
Mar 16, 2021
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 132441 CA
School Social Worker 1041S0200X 132441 CA Primary

Addresses

Primary practice location

2011 Fresno St
Fresno, CA 93721-1722

Mailing address

4855 E Kings Canyon Rd
Fresno, CA 93727-3811
Phone (559) 722-8274

Other practice location 1

4855 E Kings Canyon Rd
Fresno, CA 93727-3811
Phone (559) 390-0963

Other practice location 2

4871 E Kings Canyon Rd
Fresno, CA 93727-3811
Phone (559) 390-0963

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251105002492 CA Practitioner - Clinical Social Worker 5395235667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Fresno CenterGroup PAC ID 7113347493, 7 clinicians

Practice addresses (Care Compare)

4855 E Kings Canyon Rd
Fresno, CA 93727-3811
Phone (559) 255-8395

4871 E Kings Canyon Rd
Fresno, CA 93727-3811
Phone (559) 255-8395

4879 E Kings Canyon Rd
Fresno, CA 93727-3811
Phone (559) 255-8395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
132441CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Fresno Center Mental Health CurrentSince Sep 22, 2025 Accepting new patients
The Fresno Center Clinical CurrentSince Sep 22, 2025 Accepting new patients
The Fresno Center CurrentSince Sep 1, 2020 Accepting new patients

Locations

1725 N Fine Ave
Fresno, CA 93727

4855 E Kings Canyon Rd
Fresno, CA 93727
Phone (559) 255-8305

4879 E Kings Canyon Rd
Fresno, CA 93727
Phone 5592558395 ext. 242

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1902481401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 E KINGS CANYON RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937273811",
            "telephone_number": "559-722-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211722",
            "telephone_number": "559-457-6088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4855 E Kings Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937273811",
            "country_code": "US",
            "telephone_number": "559-390-0963",
            "fax_number": "559-255-1690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4871 E Kings Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937273811",
            "country_code": "US",
            "telephone_number": "559-390-0963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANG",
        "first_name": "BAO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "132441",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CA",
            "license": "132441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.