PHIVAN PHAM-CCASA
NPI 1093674970
Nurse Practitioner - Adult Health in Los Angeles, CA

Q: What is Phivan Pham-ccasa's NPI number?

The NPI number for Phivan Pham-ccasa is 1093674970. It was assigned to this individual provider in the NPPES registry on January 16, 2026.

Q: What is Phivan Pham-ccasa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Phivan Pham-ccasa was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 16, 2026PECOS EnrolledAccepts Medicare Assignment

600 S SAN VICENTE BLVD, LOS ANGELES, CA 90048(310) 873-3312 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2026, Jan 16, 2026 (2 updates tracked since 2026).

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About Phivan Pham-ccasa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHIVAN PHAM-CCASA (NPI 1093674970) is an individual adult health provider in Los Angeles, California, licensed in California (NP95038118) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1093674970

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NamePHIVAN PHAM-CCASA

Location Address600 S SAN VICENTE BLVDLos Angeles, CA 90048-4653

Mailing Address9912 Cheshire AveWestminster, CA 92683-5708

Phone(310) 873-3312

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 16, 2026

Last NPPES UpdateApril 6, 20262 updates tracked since enumeration

NPPES CertifiedApril 6, 2026

✔ NPI 1093674970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in CA · NP95038118

600 S SAN VICENTE BLVD, Los Angeles, CA 90048

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Phivan Pham-ccasa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789163395

PECOS Enrollment IDI20260204002431

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90048 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GIRISH MOHAN MD INC.

Clinic/Center

600 S SAN VICENTE BLVD
LOS ANGELES, CA 90048

Los Angeles County (310) 873-3312

AZITA LOCKE NP

Nurse Practitioner (Family)

600 S SAN VICENTE BLVD
LOS ANGELES, CA 90048

Los Angeles County (310) 873-3312

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phivan Pham-ccasa's NPI number?

The NPI number for Phivan Pham-ccasa is 1093674970. It was assigned to this individual provider in the NPPES registry on January 16, 2026.

Where is Phivan Pham-ccasa located?

Phivan Pham-ccasa practices at 600 S San Vicente Blvd, Los Angeles, CA 90048. The listed phone number is (310) 873-3312.

What is Phivan Pham-ccasa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Phivan Pham-ccasa enrolled in Medicare?

Yes. Phivan Pham-ccasa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Phivan Pham-ccasa was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.