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

Mai Nhia Thao

Individual provider Registered Nurse · NPI 1114401569

Mai Nhia Thao is a Nurse Practitioner in Fresno, California. Qualified in 2018, 8 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

268 N Locan Ave
Fresno, CA 93737-9748
Phone: (559) 289-4041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 95009657 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 803343 (CA)
Community Health Registered Nurse Taxonomy 163WC1500X · Licence 81598 (CA)

Record details

NPI number1114401569
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 21, 2018
Last updated in NPPESSeptember 21, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Fresno