Tommy Panyanouvong

Individual Active
NPI 1407126469
Peer Specialist Modesto, CA

Tommy Panyanouvong is a peer specialist practicing in Modesto, CA. The NPI was issued on January 9, 2012, and the record was last updated in NPPES on May 21, 2025. The record lists 3 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X MPSS-IUXREV (CA)
Adult Companion 372600000X MPSSIUXREV (CA)
Adult Companion 372600000X MPSS-IUXREV (CA)

Practice location

1300 Payne Ave
Modesto, CA 95351-4821
Phone: (209) 541-0662

Local context

Active NPPES records list 93 providers with peer specialist as the primary taxonomy within 25 miles of this practice location's ZIP code, 82 of them within 10 miles.

The same primary taxonomy is listed by 4,786 in California and 33,802 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Tommy Phoukhaothong Panyanouvong
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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