Phivan Pham-Ccasa
NPI 1093674970 · Adult Health Nurse Practitioner · Los Angeles, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phivan Pham-Ccasa is a Adult Health Nurse Practitioner provider in Los Angeles, CA (NPI 1093674970).
Provider details
- NPI number
- 1093674970
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- NP95038118 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-01-16
- Last updated
- 2026-04-06
- Certified
- 2026-04-06
Frequently asked questions
- What is Phivan Pham-Ccasa's NPI number?
- Phivan Pham-Ccasa's National Provider Identifier (NPI) is 1093674970, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phivan Pham-Ccasa's specialty?
- Phivan Pham-Ccasa is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Phivan Pham-Ccasa located?
- Phivan Pham-Ccasa's practice location on file with NPPES is 600 S San Vicente Blvd, Los Angeles, CA 90048-4653.
- What is Phivan Pham-Ccasa's phone number?
- The practice phone number listed in the NPPES registry for Phivan Pham-Ccasa is (310) 873-3312.
- Does Phivan Pham-Ccasa accept Medicare?
- Phivan Pham-Ccasa is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Phivan Pham-Ccasa's NPI active?
- Yes — Phivan Pham-Ccasa's NPI (1093674970) is active in the NPPES registry as of the last update on 2026-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.