Active NPI
Vincent Ernest Diventi, CRNA
- Certified Registered Nurse Anesthetist
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 7195
- Practice address
- PSC 819 Box 18
Fpo, AE 09645-0001 - Phone
- (314) 727-3524
- NPI assigned
- Jun 23, 2023
- Last updated
- Jun 1, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7195 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hafa Specialist Group LLP | Current | Accepting new patients | |
| Guam X-Ray | Current | Accepting new patients | |
| Hafa Adal Specialist Group, LLP | Current | 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.
-
dba Guam Radiology Consultants
- Vascular & Interventional Radiology Physician
- Tamuning, GU
- NPI 1376767426
-
- Ambulatory Surgical Clinic/Center
- Tamuning, GU
- NPI 1881929842
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.