PHIVAN PHAM-CCASA NPI 1093674970

NPI Information

  • NPI: 1093674970
  • Provider Name: PHIVAN PHAM-CCASA
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 600 S SAN VICENTE BLVD
    LOS ANGELES, CA
    ZIP 90048
  • Phone: (310) 873-3312

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NPI Details

Phivan Pham-ccasa is an adult health nurse practitioner in Los Angeles, CA. Phivan Pham-ccasa NPI is 1093674970. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 S SAN VICENTE BLVD
LOS ANGELES, CA
ZIP 90048-653
Phone: (310) 873-3312

The enumeration date for this NPI number is 1/16/2026 and was last updated on 1/16/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health95038118CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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