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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LAVENDER KASHIA MOUA
NPI 1265356604
Student in an Organized Health Care Education/Training Program in Fresno, CA

Active since August 07, 2026
4855 E KINGS CANYON RD, FRESNO, CA 93727(559) 390-0963 Get Directions Write a Review

NPPES record added: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lavender Kashia Moua NPPES

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

LAVENDER KASHIA MOUA (NPI 1265356604) is an individual student in an organized health care education/training program in Fresno, California and active in the NPI registry since August 2026. She maintains a secondary practice location in Fresno.

NPPES Registry Identity

NPI1265356604
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLAVENDER KASHIA MOUA
Location Address4855 E KINGS CANYON RDFresno, CA 93727-3811
Mailing Address4879 E Kings Canyon RdFresno, CA 93727-3811
Phone(559) 390-0963
Sole ProprietorYes
Enumeration DateAugust 7, 2026
NPPES CertifiedAugust 7, 2026
✔ NPI 1265356604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4855 E KINGS CANYON RD, Fresno, CA 93727
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Secondary Practice Location 1

Location 14871 E Kings Canyon RdFresno, CA 93727-3811 · Phone (559) 390-0963

Other Providers at the Same Location NPPES 18

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

NOUA CHANG
Community Health Worker
4855 E KINGS CANYON RD
FRESNO, CA 93727
Fresno County (559) 255-8395
CRYSTAL XIONG
Student in an Organized Health Care Education/Training Program
4855 E KINGS CANYON RD
FRESNO, CA 93727
Fresno County (559) 390-0963
JONAH CHENG HEU
Registered Nurse
4855 E KINGS CANYON RD
FRESNO, CA 93727
Fresno County (559) 319-1644
KAITLYN YAM ZOO YANG
Community Health Worker
4855 E KINGS CANYON RD
FRESNO, CA 93727
Fresno County (559) 493-0625
BE HER
Community Health Worker
4855 E KINGS CANYON RD
FRESNO, CA 93727
Fresno County (559) 255-8395
LUE VANG
Day Training/Habilitation Specialist
4855 E KINGS CANYON RD
FRESNO, CA 93727
Fresno County (559) 390-0963
PANDA VANG
Community Health Worker
4855 E KINGS CANYON RD
FRESNO, CA 93727
Fresno County (559) 493-0625
CHEE VANG
Case Manager/Care Coordinator
4855 E KINGS CANYON RD
FRESNO, CA 93727
Fresno County (559) 255-8395

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lavender Moua's NPI number?

The NPI number for Lavender Moua is 1265356604. It was assigned to this individual provider in the NPPES registry on August 7, 2026.

Where is Lavender Moua located?

Lavender Moua practices at 4855 E Kings Canyon Rd, Fresno, CA 93727. The listed phone number is (559) 390-0963.

What is Lavender Moua's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Lavender Moua was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 days 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.