Crystal Pham, CRNA in Los Angeles, CA - Medicare Nurse Anesthetist, Certified Registered

Crystal Pham, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Los Angeles, California. Her current practice location is 1500 San Pablo St, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 442-7400.

Crystal Pham is licensed to practice in California (license number NA95002014) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396457248.

Contact Information

	Crystal Pham, CRNA
	1500 San Pablo St, Los Angeles, CA 90033-5313
	(323) 442-7400
	Not Available

Map and Direction

Provider's Profile

Full Name	Crystal Pham
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1500 San Pablo St, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396457248
Provider Enumeration Date: 12/21/2022
Last Update Date: 10/27/2024

Medicare PECOS Information:

PECOS PAC ID: 6305210121
Enrollment ID: I20230317002109

Medical Identifiers

Medical identifiers for Crystal Pham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396457248	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95261500 (California)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	NA95002014 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Crystal Pham allows following entities to bill medicare on her behalf.

Entity Name	Usc Care Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Pham is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Crystal Pham, CRNA Po Box 31309, Los Angeles, CA 90031-0309 Ph: (323) 442-7400	Crystal Pham, CRNA 1500 San Pablo St, Los Angeles, CA 90033-5313 Ph: (323) 442-7400

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Los Angeles, CA

Mrs. Cathy Kiem Ngo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400
Cynthia L Plehn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4733 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-4011
Mrs. Sara Rondinone Shive, RN, BSN, CRNA, MS Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400 Fax: 323-442-7411
Brandon Lee, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1401 S Grand Ave, Los Angeles, CA 90015 Phone: 213-748-2411
Brooke A Knapp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000
Mrs. Dina Marie Hunt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400
Tahira Ayanna Smith-aifesehi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1200 N State St, Los Angeles, CA 90033 Phone: 323-226-2622

Crystal Pham, CRNA - Medicare Nurse Anesthetist, Certified Registered in Los Angeles, CA