Xuan Ha Pham Crna, a Professional Nursing Corporation, Inc.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

XUAN HA PHAM CRNA, A PROFESSIONAL NURSING CORPORATION, INC.

Practice address

3805 Telegraph Rd
Ventura, CA 93003-3422

Phone

(818) 918-0500

NPI assigned

May 8, 2023

Organization subpart

No

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

Authorized official

Name

Xuan Ha Pham, CRNANPI 1467926220

Title

President

Phone

(818) 918-0500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Xuan Ha Thi Pham, CRNA

  • Certified Registered Nurse Anesthetist
  • Visalia, CA
  • NPI 1467926220

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1760171573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7001",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913577001",
            "telephone_number": "818-918-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 TELEGRAPH RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033422",
            "telephone_number": "818-918-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XUAN HA PHAM CRNA, A PROFESSIONAL NURSING CORPORATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "XUAN HA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-918-0500",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Wulfert, PHD
• Rebecca Wulff, PPS
• Jesse Ryan Wyatt, M.D.
• Craig Wyrick-Solari
• Qianying Xie, M.A., APCC
• Xyroma LLC
• Harla Beth Yaeger, CNM
• Ryan Yamashiro, DMD
• Ronald Hiroshi Yamashita, RPH
• Gil Avinante Yambao, LVN III

• Certified Registered Nurse Anesthetist in Ventura, CA
• Providers in Ventura, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.