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DYANA INTHAVONG
NPI 1497277925
Licensed Vocational Nurse in Ceres, CA

Active since July 17, 2017
1768 MITCHELL RD STE 301, CERES, CA 95307(209) 353-4838 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2021, May 15, 2020, Nov 14, 2017 and 1 more (4 updates tracked since 2017).

About Dyana Inthavong NPPES

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

DYANA INTHAVONG (NPI 1497277925) is an individual licensed vocational nurse in Ceres, California, licensed in California (265486) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1497277925
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameDYANA INTHAVONG
Location Address1768 MITCHELL RD STE 301Ceres, CA 95307-2156
Mailing Address1768 Mitchell Rd Ste 301Ceres, CA 95307-2156
Phone(209) 353-4838
Sole ProprietorNo
Enumeration DateJuly 17, 2017
Last NPPES UpdateJanuary 11, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2021
✔ NPI 1497277925 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 · 265486
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.
1768 MITCHELL RD STE 301, Ceres, CA 95307
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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.

LIZBETH SANTILLAN PINEDA
Counselor (Addiction (Substance Use Disorder))
1768 MITCHELL RD STE 301
CERES, CA 95307
Stanislaus County (209) 353-4838
ANGELIQUE MARIA GARCIA
Counselor (Addiction (Substance Use Disorder))
1768 MITCHELL RD STE 301
CERES, CA 95307
Stanislaus County (209) 353-4838
KELLY KEOMUANGCHANH
Counselor (Addiction (Substance Use Disorder))
1768 MITCHELL RD STE 301
CERES, CA 95307
Stanislaus County (209) 353-4838
JEREMY SOTO
Counselor (Addiction (Substance Use Disorder))
1768 MITCHELL RD STE 301
CERES, CA 95307
Stanislaus County (209) 353-4838
VALERIA TABAREZ
Counselor (Addiction (Substance Use Disorder))
1768 MITCHELL RD STE 301
CERES, CA 95307
Stanislaus County (209) 353-4838
DAISY ALVIZO
Counselor (Addiction (Substance Use Disorder))
1768 MITCHELL RD STE 301
CERES, CA 95307
Stanislaus County (209) 353-4838
EBONY SHEALEASE DAVIS
Counselor (Addiction (Substance Use Disorder))
1768 MITCHELL RD STE 301
CERES, CA 95307
Stanislaus County (209) 353-4838
PATHANA LUANGRATH
Counselor (Addiction (Substance Use Disorder))
1768 MITCHELL RD STE 301
CERES, CA 95307
Stanislaus County (209) 353-4838

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 Dyana Inthavong's NPI number?

The NPI number for Dyana Inthavong is 1497277925. It was assigned to this individual provider in the NPPES registry on July 17, 2017.

Where is Dyana Inthavong located?

Dyana Inthavong practices at 1768 Mitchell Rd Ste 301, Ceres, CA 95307. The listed phone number is (209) 353-4838.

What is Dyana Inthavong's specialty?

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

When was this NPI record last updated?

The NPPES record for Dyana Inthavong was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.