Individual provider Active NPI

Denny Pham

  • Certified Registered Nurse Anesthetist
  • Anchorage, AK
National Provider Identifier
1760721765
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
35150 Issued in AK
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

Updated by the provider on Jan 13, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20240325003794 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244460673 Reassigns benefits to 4 organizations

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
Samantha Polikowski Anesthesia IncGroup PAC ID 1951742543, 36 clinicians
Southern California Gastroenterology Anesthesia SpeciaGroup PAC ID 1153638572, 3 clinicians

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

LicenseStateTypeSpecialty
35150AKMDRegistered Nurse
728851CAMDRegistered Nurse
811563TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
La Jolla Anesthesia Associates LP Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2024 Accepting new patients
Southern California Gastroenterology Anesthesia Specia Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2024 Accepting new patients
Concierge Anesthesia CurrentSince Feb 1, 2024 Accepting new patients
Samantha Polikowski Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 10, 2024 Accepting new patients
Heart of San Diego Surgical Center LLC PastSince Jun 18, 2023 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.

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.

Verify at the official NPI Registry.