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

Virginia Inthavong, FNP

Individual provider Family Nurse Practitioner · NPI 1932741139

Virginia Inthavong, FNP is a Nurse Practitioner in Modesto, California. Qualified in 2019, 7 years ago. Practices with La Laser Center PC a Professional Medical Corporation, a 80-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Kansas.

Years since qualifying
7
Licensed in
CA, KS
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1717 Las Vegas St
Modesto, CA 95358-5500
Phone: (866) 682-4842
Fax: (866) 234-5550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 13340 Metcalf Ave, Overland Park, KS 66213-2804 — (913) 984-2020
  • 5304 Queal Dr, Shawnee, KS 66203-1968 — (913) 710-1557

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95013866 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence XXXXXX (KS)

Record details

NPI number1932741139
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 9, 2019
Last updated in NPPESFebruary 22, 2022
Certification dateFebruary 22, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice La Laser Center Pc A Professional Medical Corporation — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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