Individual provider Active NPI

Vincent Ernest Diventi, CRNA

  • Certified Registered Nurse Anesthetist
National Provider Identifier
1942986195
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
7195 Issued in NC
Practice address
PSC 819 Box 18
Fpo, AE 09645-0001
Phone
(314) 727-3524
NPI assigned
Jun 23, 2023
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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 7195 NC Primary

Addresses

Primary practice location

PSC 819 Box 18
Fpo, AE 09645-0001

Mailing address

PSC 819 Box 18
Fpo, AE 09645-0001

Other practice location 1

Bldg #50 Farenholt Ave
Agana Heights, GU 96910
Phone (671) 344-9386

Other names 1

  • Vincent Ernest Diventi Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240528001037 GU Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052756467 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hafa Specialist Group LLPGroup PAC ID 3779482286, 7 clinicians
Guam X-RayGroup PAC ID 8123180742, 33 clinicians

Practice addresses (Care Compare)

280 Pale San Vitores Rd
Tamuning, GU 96913-3615
Phone (671) 647-4542

633 Gov Carlos Camacho Rd
Suite 210
Tamuning, GU 96913
Phone (671) 649-1001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7195NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hafa Specialist Group LLP CurrentSince Mar 16, 2024 Accepting new patients
Guam X-Ray CurrentSince Jun 5, 2024 Accepting new patients
Hafa Adal Specialist Group, LLP CurrentSince Mar 16, 2024 Accepting new patients

Locations

280 Pale San Vitores Rd
Tamuning, GU 96913
Phone (671) 647-4542

633 Gov Carlos G Camacho Rd
Ste 210
Tamuning, GU 96913
Phone (671) 649-1001

Organizations & group practices 3

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": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1942986195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 819 BOX 18",
            "city": "FPO",
            "state": "AE",
            "postal_code": "096450001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "PSC 819 BOX 18",
            "city": "FPO",
            "state": "AE",
            "postal_code": "096450001",
            "telephone_number": "314-727-3524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Bldg #50 Farenholt Ave",
            "address_purpose": "LOCATION",
            "city": "Agana Heights",
            "state": "GU",
            "postal_code": "96910",
            "country_code": "US",
            "telephone_number": "671-344-9386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIVENTI",
        "first_name": "VINCENT",
        "middle_name": "ERNEST",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-23",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "7195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VINCENT",
            "last_name": "DIVENTI",
            "middle_name": "ERNEST",
            "credential": "CRNA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.