| 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 | 5 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 |
|---|---|---|
| Concierge Anesthesia | 7012320500 | 16 |
| 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 | Axiom Anesthesia A Professional Nursing Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760150155 PECOS PAC ID: 5395133326 Enrollment ID: O20211025002427 |
| 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: Accepting Medicare Assignments 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: Accepting Medicare Assignments Practice Location: 15107 Vanowen St, Van Nuys, CA 91405 Phone: 818-782-6600 |