Individual provider Active NPI

Xuan Ha Thi Pham, CRNA

  • Certified Registered Nurse Anesthetist
  • Visalia, CA
National Provider Identifier
1467926220
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
842813 Issued in CA
Practice address
400 W Mineral King Ave
Visalia, CA 93291-6237
Phone
(818) 918-0500
NPI assigned
Jan 15, 2019
Last updated
May 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 842813 CA Primary

Addresses

Primary practice location

400 W Mineral King Ave
Visalia, CA 93291-6237

Mailing address

5421 Reef Way
Oxnard, CA 93035-1066
Phone (818) 918-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190315001144 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254671951 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tip Top Anesthesia Group IncGroup PAC ID 0941429872, 45 clinicians
Concierge AnesthesiaGroup PAC ID 7012320500, 18 clinicians

Practice addresses (Care Compare)

1001 Tower Way
Suite 150
Bakersfield, CA 93309-1586
Phone (310) 779-3025

3805 Telegraph Rd
Ventura, CA 93003-3422
Phone (805) 644-9001

4472 Broad St
Suite 150
San Luis Obispo, CA 93401-7990
Phone (805) 548-1050

Merit-based Incentive Payment System (MIPS)

Final score
62.32 of 100Reported as group
Quality
34
Promoting interoperability
77
Improvement activities
40
Cost
59.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
842813CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander P. Hersel, M.D., Inc CurrentSince Oct 1, 2023 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation CurrentSince Jun 15, 2023 Accepting new patients
Concierge Anesthesia CurrentSince Mar 1, 2024 Accepting new patients
Tip Top Anesthesia Group Inc CurrentSince Jul 25, 2023 Accepting new patients
Oak Creek Anesthesia Services, Inc. CurrentSince Oct 1, 2020 Accepting new patients
SCQ Anesthesia a Professional Nursing Corporation Nurse Anesthetist, Certified Registered CurrentSince Jan 19, 2023 Accepting new patients
Xuan Ha Pham Crna, a Professional Nursing Corporation, Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 18, 2022 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation CurrentSince Jun 15, 2023 Accepting new patients
San Fernando Valley Vascular Group a Medical Corporation Past Accepting new patients
West Coast Surgery Inc Past Accepting new patients

Locations

1001 Tower Way
Ste 150
Bakersfield, CA 93309
Phone (310) 779-3025

50 N La Cienega Blvd
Ste 203
Beverly Hills, CA 90211
Phone (323) 988-0896

835 Third Ave
Ste A
Chula Vista, CA 91911
Phone (619) 425-7755

488 E Valley Pkwy
Ste 100
Escondido, CA 92025
Phone (760) 546-4386

1901 Solar Dr
Ste 100
Oxnard, CA 93036
Phone (805) 485-4345

4500 Brockton Ave
Ste 105
Riverside, CA 92501
Phone (951) 784-4088

3939 3rd Ave
San Diego, CA 92103
Phone (619) 296-8525

3939 Ruffin Rd
San Diego, CA 92123
Phone (619) 299-9530

816 E Enos Dr
Ste B
Santa Maria, CA 93454
Phone (805) 347-7813

4472 Broad St
Ste 150
Sn Luis Obisp, CA 93401
Phone (805) 364-8450

18840 Ventura Blvd
#100A
Tarzana, CA 91356

18840 Ventura Blvd
Ste 100A
Tarzana, CA 91356

1120 Newbury Rd
Ste 150
Thousand Oaks, CA 91320
Phone (805) 557-0096

3180 Willow Ln
Ste 118
Thousand Oaks, CA 91361
Phone (805) 766-6319

3805 Telegraph Rd
Ventura, CA 93003
Phone (805) 644-9001

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

7230 Medical Ctr
Ste 500
West Hills, CA 91307
Phone (310) 285-2424

696 Hampshire Rd
Ste 100
Westlake Vlg, CA 91361
Phone (805) 413-7920

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBCJAA

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1467926220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 REEF WAY",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930351066",
            "telephone_number": "818-918-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MINERAL KING AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916237",
            "telephone_number": "818-918-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "XUAN HA",
        "middle_name": "THI",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "842813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.