Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KA LAI VANG
Deactivated Sole ProprietorKA LAI VANG is a Child & Adolescent Psychiatric Nurse healthcare provider located in FRESNO, California. NPI 1033568076 is deactivated in the NPPES registry. Verify at CMS.
Child & Adolescent Psychiatric Nurse · FRESNO, CA
This NPI has been deactivated.
The record was deactivated on September 6, 2023.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1033568076
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 9, 2016 (7.2431693989071 yrs)
- Last Updated
- Oct 22, 2025
- Deactivated
- Sep 6, 2023
- Licenses
-
256385 (CA)95362781 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4411 E CESAR CHAVEZ BLVDFRESNO, CA, 937023604Browse CA providers · Browse ZIP 93702
- Phone
- 5594531008
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
- Additional Specialty
- Child & Adolescent Psychiatric Nurse
Other Child & Adolescent Psychiatric Nurse Providers in FRESNO, CA
| Name | Credential | NPI |
|---|---|---|
| MR. MELVIN M CHONG | RN | 1831250539 |
| MR. STANLEY MARKAY BLACK | RN, BSN, MPA | 1730241902 |
| MR. QUY ANH GIP | RN | 1427111798 |
| MRS. DOROTHY K. MAZUREK | RN, CCM | 1437201936 |
| MS. ODILLA DIONISIO | RN | 1851510523 |
| MS. LILLY JIMENEZ | — | 1154512408 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.