Ms Via Geronga Tan, CRNA | |
15107 Vanowen St, Van Nuys, CA 91405-4542 | |
(818) 782-6600 | |
Not Available |
Full Name | Ms Via Geronga Tan |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 3 Years |
Location | 15107 Vanowen St, Van Nuys, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659962454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 685385 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 95001439 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tip Top Anesthesia Group Inc | 0941429872 | 32 |
Northridge Pain Management Specialists Medical Corporation | 5799684866 | 6 |
Concierge Anesthesia | 7012320500 | 15 |
Entity Name | Northridge Pain Management Specialists Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972683555 PECOS PAC ID: 5799684866 Enrollment ID: O20040107000813 |
Entity Name | Brotman Medical Anesthesia Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154378362 PECOS PAC ID: 8123027547 Enrollment ID: O20061213000236 |
Entity Name | Tip Top Anesthesia Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508283698 PECOS PAC ID: 0941429872 Enrollment ID: O20140908002508 |
Entity Name | Concierge Anesthesia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447726997 PECOS PAC ID: 7012320500 Enrollment ID: O20201229003177 |
Entity Name | Vp Anesthesia Partners Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518694173 PECOS PAC ID: 6002283363 Enrollment ID: O20221031001532 |
Entity Name | Synergy Anesthesia A Professional Nursing Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578283305 PECOS PAC ID: 1850761115 Enrollment ID: O20221230001747 |
Mailing Address | Practice Location Address |
---|---|
Ms Via Geronga Tan, CRNA 17124 Index St, Granada Hills, CA 91344-4131 Ph: (818) 687-2516 | Ms Via Geronga Tan, CRNA 15107 Vanowen St, Van Nuys, CA 91405-4542 Ph: (818) 782-6600 |
Cecilia Johnson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 15107 Vanowen St, Van Nuys, CA 91405 Phone: 818-782-6600 | |
Madeleine Kovis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6815 Noble Ave, #400, Van Nuys, CA 91405 Phone: 818-901-6690 | |
Sally B Taussig, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 14624 Sherman Way, #303, Van Nuys, CA 91405 Phone: 818-785-8371 | |
Shane Martien, BSN, DNP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 15107 Vanowen St, Van Nuys, CA 91405 Phone: 818-782-6600 |