Provider Profile

Phivan Pham-Ccasa

Unclaimed Profile

About Phivan Pham-Ccasa

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Education & Training

School Other Graduated: 2025

Specialty

Nurse Practitioner — Adult Health (Primary)

Credentials & Licensing

CA licenseNP95038118
NPI1093674970
NPI issued01/16/2026

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Phivan Pham-Ccasa specialize in?

Phivan Pham-Ccasa is a nurse practitioner in Los Angeles, CA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Adult Health”.

NPI registry

Where is Phivan Pham-Ccasa located?

Phivan Pham-Ccasa is listed at 600 S San Vicente Blvd, Los Angeles, CA 90048. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Phivan Pham-Ccasa's phone number?

The number on file is (310) 873-3312. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Phivan Pham-Ccasa's NPI number?

Phivan Pham-Ccasa's National Provider Identifier is 1093674970. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Phivan Pham-Ccasa train?

Phivan Pham-Ccasa attended Other, graduating in 2025. This comes from the CMS National Downloadable File.

CMS public data

How long has Phivan Pham-Ccasa been practicing?

Phivan Pham-Ccasa has 1 year experience. Calculated from a graduation year of 2025, reported in the CMS National Downloadable File.

CMS public data

Has Phivan Pham-Ccasa confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Phivan Pham-Ccasa. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.