VIRGINIA INTHAVONG FNP
NPI 1932741139
Nurse Practitioner - Family in Modesto, CA
About Virginia Inthavong Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIRGINIA INTHAVONG FNP (NPI 1932741139) is an individual family provider in Modesto, California, licensed in California (95013866) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Virginia Inthavong Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
6Medicare enrollment records show Virginia Inthavong reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lodi, CA 95240
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
Burbank, CA 91505
- Reassigned Medicare billing, California enrollment
- 236 clinicians in this Medicare group
Irvine, CA 92604
- Reassigned Medicare billing, California enrollment
- 212 clinicians in this Medicare group
San Clemente, CA 92672
- Reassigned Medicare billing, California enrollment
- 28 clinicians in this Medicare group
El Cajon, CA 92020
- Reassigned Medicare billing, California enrollment
- 212 clinicians in this Medicare group
Overland Park, KS 66213
- Reassigned Medicare billing, Kansas enrollment
- 29 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95358 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MODESTO, CA 95358
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 Virginia Inthavong's NPI number?
The NPI number for Virginia Inthavong is 1932741139. It was assigned to this individual provider in the NPPES registry on October 9, 2019.
Where is Virginia Inthavong located?
Virginia Inthavong practices at 1717 Las Vegas St, Modesto, CA 95358. The listed phone number is (866) 682-4842.
What is Virginia Inthavong's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Virginia Inthavong enrolled in Medicare?
Yes. Virginia Inthavong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Virginia Inthavong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Virginia Inthavong reassigns Medicare benefits to 6 organizations: Gill Medical Group, Inc. (Lodi, CA), Minuteclinic Diagnostic Medical Group Of California Inc (Burbank, CA), Minuteclinic Diagnostic Medical Group Of Orange County Inc (Irvine, CA), La Laser Center, PC, A Professional Medical Corporation (San Clemente, CA), Minuteclinic Diagnostic Medical Group Of San Diego Inc (El Cajon, CA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Virginia Inthavong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Virginia Inthavong was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Virginia Inthavong, FNP · NPI 1932741139
Family physician in Modesto, California. Individual provider, active in the CMS NPPES registry since October 9, 2019.
## Identity
- **NPI:** 1932741139 (Entity type: Individual)
- **Enumerated:** October 9, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95013866 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1717 LAS VEGAS ST, Modesto, CA 95358-5500
- **Phone:** (866) 682-4842 · **Fax:** (866) 234-5550
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Gill Medical Group, Inc. (NPI 1235642588, Lodi, CA); Minuteclinic Diagnostic Medical Group Of California Inc (NPI 1033309372, Burbank, CA); Minuteclinic Diagnostic Medical Group Of Orange County Inc (NPI 1104013879, Irvine, CA); La Laser Center, PC, A Professional Medical Corporation (NPI 1306982855, San Clemente, CA); Minuteclinic Diagnostic Medical Group Of San Diego Inc (NPI 1568659233, El Cajon, CA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** February 22, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1932741139) · Data from the CMS NPPES public registry.