Individual provider Active NPI

PA Thao Vang, NP

  • Family Nurse Practitioner
  • Cameron Park, CA
National Provider Identifier
1942588652
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20399 Issued in CA
Practice address
3581 Palmer Dr
Suite 602
Cameron Park, CA 95682-8236
Phone
(530) 672-7000
NPI assigned
Jul 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20399 CA Primary

Addresses

Primary practice location

3581 Palmer Dr
Suite 602
Cameron Park, CA 95682-8236

Mailing address

PO Box 45680
San Francisco, CA 94145-0680
Phone (530) 672-7000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140207001186 CA Practitioner - Nurse Practitioner 6608005996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sierra Hematology and Oncology Medical CentersGroup PAC ID 9032102520, 15 clinicians

Practice addresses (Care Compare)

8100 Bruceville Rd
Sacramento, CA 95823-2353
Phone (916) 689-9300

Hospital & facility affiliations

  • Mercy General Hospital Hospital, Sacramento, CA, CCN 050017
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Mercy San Juan Medical Center Hospital, Carmichael, CA, CCN 050516
  • Methodist Hospital of Sacramento Hospital, Sacramento, CA, CCN 050590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
20399CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Hematology and Oncology Medical Centers CurrentSince Jul 1, 2025 Accepting new patients
Capital Medical Extended Care Past Accepting new patients

Locations

6555 Coyle Ave
Ste 301
Carmichael, CA 95608
Phone (916) 961-0258

8100 Bruceville Rd
Sacramento, CA 95823
Phone (916) 683-9616

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19797/brand/1/csg/1/fhir/r4
  • Direct secure messaging: pa.vang@sierrahemonc.ikm.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1942588652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45680",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941450680",
            "telephone_number": "530-672-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 PALMER DR",
            "address_2": "SUITE 602",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828236",
            "telephone_number": "530-672-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANG",
        "first_name": "PA",
        "middle_name": "THAO",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron Park, CA

Sources for this page

Verify at the official NPI Registry.