Pukan Phaoudom
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2006
- Practice locations
- 2
- Practice address
- 4447 E. Cesar Chavez Blvd., Fresno, CA 93702
- Practice phone
- Call (559) 600-5755
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
County Of Fresno - Fresno (4447 E Cesar Chavez Blvd)
Behavioral health practice · Fresno, California
Find Pukan Phaoudom's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Pukan Phaoudom is a clinical social worker in Fresno, California
Pukan Phaoudom practices at County Of Fresno - Fresno (4447 E Cesar Chavez Blvd) in Fresno, California.
Pukan Phaoudom's NPI, 1790844512, was assigned on December 7, 2006. Pukan Phaoudom holds California license LCSW25857.
- NPI
- 1790844512NPI Registry (opens in a new tab)
- NPI enumeration date
- December 7, 2006
- NPI status
- Active
- Practice phone
- (559) 600-5755
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Pukan Phaoudom practices at 2 locations in Fresno, California
Pukan Phaoudom's primary practice is County of Fresno - Fresno (4447 E Cesar Chavez Blvd), at 4447 E. Cesar Chavez Blvd., Fresno, CA 93702. The practice phone is (559) 600-5755. The NPI Registry lists Pukan Phaoudom's practice address as 1925 E Dakota Ave, Fresno, CA 93726.
- County of Fresno - Fresno (4447 E Cesar Chavez Blvd)Primary4447 E. Cesar Chavez Blvd., Fresno, CA 93702Phone(559) 600-5755
- NPI Registry address1925 E Dakota Ave, Fresno, CA 93726Phone(559) 600-5982
Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Practice Data
Pukan Phaoudom is affiliated with 1 site of care and 1 medical group
Pukan Phaoudom's primary practice is County Of Fresno - Fresno (4447 E Cesar Chavez Blvd) in Fresno, California. The medical group on file is Fresno County Department of Behavioral Health.
Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dmand AI tracks the EHR system at Pukan Phaoudom's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Pukan Phaoudom practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| County Of Fresno - Fresno (4447 E Cesar Chavez Blvd) | Available with a free account |
Source: Dmand AI Technology Install Data
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Pukan Phaoudom is one of 9,919 clinical social workers in California
Social worker is Pukan Phaoudom's primary specialty in the NPI Registry, under taxonomy code 1041C0700X. The record also lists clinical. Pukan Phaoudom is licensed in California.
Specialties and state licenses
- Clinical social worker, CaliforniaPrimary
Clinical social workers near Pukan Phaoudom
Counts of clinical social workers with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Sources for Pukan Phaoudom's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Pukan Phaoudom
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What is Pukan Phaoudom's NPI number?
Pukan Phaoudom's NPI number is 1790844512. It was assigned on December 7, 2006, and it is active in the NPI Registry.
What does Pukan Phaoudom specialize in?
Pukan Phaoudom is a clinical social worker in Fresno, California. The primary specialty in the NPI Registry is Clinical Social Worker (taxonomy code 1041C0700X).
Where does Pukan Phaoudom practice?
Pukan Phaoudom practices at 4447 E. Cesar Chavez Blvd., Fresno, CA 93702. Pukan Phaoudom also practices at 1925 E Dakota Ave, Fresno, CA 93726. Pukan Phaoudom's primary practice is County Of Fresno - Fresno (4447 E Cesar Chavez Blvd) in Fresno, California.
What is Pukan Phaoudom's office phone number?
The practice phone on file for Pukan Phaoudom is (559) 600-5755.
What is Pukan Phaoudom's medical license number?
Pukan Phaoudom holds California license LCSW25857, one of 2 state licenses on file.
What medical group is Pukan Phaoudom part of?
Pukan Phaoudom is linked to Fresno County Department of Behavioral Health.
How long has Pukan Phaoudom been practicing?
Pukan Phaoudom's NPI was assigned in 2006.
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