MAIZONG VANG THOR - NPI 1053996876 - Registered Nurse in Fresno, CA

Q: What is Maizong Thor's NPI number?

The NPI number for Maizong Thor is 1053996876. It was assigned to this individual provider in the NPPES registry on March 12, 2021. The provider is also known as Maizong Vang.

Q: What is Maizong Thor's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Q: When was this NPI record last updated?

The NPPES record for Maizong Thor was last updated on May 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Maizong Vang Thor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAIZONG VANG THOR (NPI 1053996876) is an individual psychiatric/mental health provider in Fresno, California, licensed in California (95242489) and active in the NPI registry since March 2021. She maintains 6 additional practice locations.

NPPES Registry Identity

NPI1053996876

Entity TypeIndividualFemale

Primary Taxonomy163WP0808X

Provider Legal NameMAIZONG VANG THOR

Location Address4411 E. KINGS CANYON RDFresno, CA 93702

Mailing Address4411 E Kings Canyon RdFresno, CA 93702-3604 · (559) 453-1008

Phone(559) 453-1008

Sole ProprietorYes

Enumeration DateMarch 12, 2021

Last NPPES UpdateMay 20, 20263 updates tracked since enumeration

NPPES CertifiedMay 20, 2026

✔ NPI 1053996876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers

Taxonomy Code163WP0808X

License✔ Licensed in CA · 95242489

4411 E. KINGS CANYON RD, Fresno, CA 93702

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Other Names 1

Former Name (1)Maizong Vang

Secondary Practice Locations 6

Location 13141 N. Millbrook Ave.Fresno, CA 93702 · Phone (559) 453-1008

Location 23520 E Shields Ave Ste 102Fresno, CA 93726-6923 · Phone (559) 538-1230

Location 33133B N Millbrook AveFresno, CA 93703-1425 · Phone (559) 453-1008

Location 43147 N Millbrook AveFresno, CA 93703-1425 · Phone (559) 453-1008

Location 54411 E. E. Cesar Chavez BlvdFresno, CA 93702-3604 · Phone (559) 453-1008

Location 63127 N Millbrook AveFresno, CA 93703-1425 · Phone (559) 453-1008

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAMARIS NOEMI CAMACHO-MENDEZ

Licensed Vocational Nurse