MEDICARE: PA HOUA YANG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist		CA
2	171M00000X	Case Manager/Care Coordinator
3	104100000X	Social Worker	130122	CA
4	373H00000X	Day Training/Habilitation Specialist

General Provider Information

NPI Number	:	1689150922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PA HOUA YANG

Provider Business Mailing Address
First Line	:	4879 E CESAR CHAVEZ BLVD
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93727-3811
Country	:	US
Telephone Number	:	559-255-8395
Fax Number	:

Provider Business Practice Location Address
First Line	:	4871 E KINGS CANYON RD
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93727-3811
Country	:	US
Telephone Number	:	559-255-8395
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2018
Last Update Date	:	05/27/2026

Similar Medicare Providers

1285971572 — PANGDAO THAO MASTERS
Practice Location Address:

4855 E KINGS CANYON ROAD
FRESNO, CA
93727-3811

Practice Phone: 559-390-0963
Practice Fax:

1033684790 — SAI VANG LMFT
Practice Location Address:

4855 E KINGS CANYON ROAD
FRESNO, CA
93727-3811

Practice Phone: 559-255-8395
Practice Fax:

1578865457 — ZE VANG LMFT # 104480
Practice Location Address:

4855 E KINGS CANYON RD
FRESNO, CA
93727-3811

Practice Phone: 559-255-8395
Practice Fax:

1407886765 — DR. STEPHANE NGO M.D.
Practice Location Address:

4855 E KINGS CANYON RD
FRESNO, CA
93727-3811

Practice Phone: 559-255-8395
Practice Fax:

1194290494 — KA YENG LEE MS
Practice Location Address:

4855 E. KINGS CANYON RD
FRESNO, CA
93727-3811

Practice Phone: 559-255-8395
Practice Fax: 559-255-1656

1104337104 — MAI XAE YANG
Practice Location Address:

4871 E KINGS CANYON RD
FRESNO, CA
93727-3811

Practice Phone: 559-390-0963
Practice Fax:

Directions to “ PA HOUA YANG ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.