MAI DER VANG
NPI 1063081347
Licensed Vocational Nurse in Fresno, CA

Q: What is Mai Der Vang's NPI number?

The NPI number for Mai Der Vang is 1063081347. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Q: What is Mai Der Vang's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Mai Der Vang was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 22, 2021

4411 E. KINGS CANYON RD, FRESNO, CA 93702(559) 453-1008 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2026, Nov 12, 2025, Jun 22, 2021 (3 updates tracked since 2021).

On this page

About Mai Der Vang NPPES

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

MAI DER VANG (NPI 1063081347) is an individual licensed vocational nurse in Fresno, California, licensed in California (293199) and active in the NPI registry since June 2021. She maintains 5 additional practice locations.

NPPES Registry Identity

NPI1063081347

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameMAI DER VANG

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 DateJune 22, 2021

Last NPPES UpdateMay 15, 20263 updates tracked since enumeration

NPPES CertifiedMay 15, 2026

✔ NPI 1063081347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 293199

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

4411 E. KINGS CANYON RD, Fresno, CA 93702

Open in Google Maps ↗

Secondary Practice Locations 5

Location 13127 N Millbrook AveFresno, CA 93703-1425 · Phone (559) 453-1008

Location 23147 N Millbrook AveFresno, CA 93703-1425 · Phone (559) 453-1008

Location 33141 N. Millbrook Ave.Fresno, CO 93703 · Phone (559) 453-1008

Location 43520 E. Shields Ave, Ste 102Fresno, CA 93726 · Phone (559) 538-1230

Location 54411 E Cesar Chavez BlvdFresno, CA 93702-3604 · 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