Active NPI
Denny Pham
- Certified Registered Nurse Anesthetist
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 35150
- Practice address
- 2813 Kimberlie CT
Anchorage, AK 99508-5328 - Phone
- (619) 757-8772
- NPI assigned
- Feb 11, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 728851 | CA | |
| Registered Nurse | 163W00000X | 811563 | TX | |
| Registered Nurse | 163W00000X | 35150 | AK | |
| Certified Registered Nurse Anesthetist | 367500000X | 35150 | AK | Primary |
Addresses
Primary practice location
2813 Kimberlie CT
Anchorage, AK 99508-5328
Mailing address
2813 Kimberlie CT
Anchorage, AK 99508-5328
Phone (619) 757-8772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25405 Hancock Ave
Suite 103
Murrieta, CA 92562-5978
Phone (951) 698-4670
286 Euclid Ave
Suite 109
San Diego, CA 92114-3611
Phone (619) 266-1653
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35150 | AK | MD | Registered Nurse |
| 728851 | CA | MD | Registered Nurse |
| 811563 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Jolla Anesthesia Associates LP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southern California Gastroenterology Anesthesia Specia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Concierge Anesthesia | Current | Accepting new patients | |
| Samantha Polikowski Anesthesia Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Heart of San Diego Surgical Center LLC | Past | Accepting new patients |
Locations
681 Third Ave
#B
Chula Vista, CA 91910
Phone (619) 425-2150
835 Third Ave
Ste A
Chula Vista, CA 91911
Phone (619) 425-7755
2732 Navajo Rd
Ste 100
El Cajon, CA 92020
Phone (619) 266-3332
488 E Valley Pkwy
Ste 100
Escondido, CA 92025
Phone (760) 546-4386
9850 Genesee Ave
Ste 980
La Jolla, CA 92037
Phone (858) 453-7525
25405 Hancock Ave
Ste 103
Murrieta, CA 92562
Phone (909) 698-4670
3903 Waring Rd
Oceanside, CA 92056
Phone (760) 724-3293
8705 Complex Dr
Ste 202
San Diego, CA 92123
Phone (858) 302-2502
286 Euclid Ave
Ste 109
San Diego, CA 92114
Phone (619) 266-1653
3939 Ruffin Rd
San Diego, CA 92123
Phone (619) 299-9530
3939 3rd Ave
San Diego, CA 92103
Phone (619) 296-8525
286 Euclid Ave
Ste 110
San Diego, CA 92114
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
41900 Winchester Rd
Temecula, CA 92590
3180 Willow Ln
Ste 118
Thousand Oaks, CA 91361
Phone (805) 766-6319
696 Hampshire Rd
Ste 100
Westlake Vlg, CA 91361
Phone (805) 413-7920
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Chula Vista, CA
- NPI 1851157028
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- San Diego, CA
- NPI 1073997359
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Thousand Oaks, CA
- NPI 1447726997
-
- Certified Registered Nurse Anesthetist
- La Jolla, CA
- NPI 1649717737
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- San Diego, CA
- NPI 1639815129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389571200000",
"number": "1760721765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2813 KIMBERLIE CT",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085328",
"telephone_number": "619-757-8772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2813 KIMBERLIE CT",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085328",
"telephone_number": "619-757-8772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "DENNY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-11",
"last_updated": "2014-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "728851",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "811563",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AK",
"license": "35150",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AK",
"license": "35150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.