Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Khampha Thephavong, DO

Individual provider Internal Medicine Physician · NPI 1194901173

Khampha Thephavong, DO is an Internal Medicine in Fresno, California. Graduated from Ohio State University College of Medicine in 2005, 21 years ago. Practices with Community Health Partners, a 505-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
21
Trained at
Ohio State University College of Medicine
Licensed in
CA
In the registry since
2008
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2823 Fresno St
Fresno, CA 93721-1324
Phone: (559) 459-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 20A9790 (CA)

Record details

NPI number1194901173
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJanuary 21, 2008
Last updated in NPPESAugust 5, 2020
Certification dateAugust 5, 2020
Mailing address5068 E Home Ave, Fresno, CA 93727-1948

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Community Health Partners — 505 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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