Via Geronga Tan, CRNA
NPI 1659962454ActiveIndividual· Nurse Anesthetist, Certified Registered· Van Nuys, CA
Nurse Anesthetist, Certified Registered (CRNA) with Concierge Anesthesia and 1 other group, practicing in Van Nuys, California. Medicare paid $69,400 for services to 492 patients in 2024.
Overview
| NPI | 1659962454 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Feb 3, 2021 |
| Last updated in NPPES | Sep 29, 2026 |
| Certified by provider | Apr 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 95001439 | CA |
| Registered Nurse | 163W00000X | 685385 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 492 |
|---|---|
| Services billed | 717 across 17 procedure codes |
| Paid by Medicare | $69,400 |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Concierge AnesthesiaThousand Oaks, CA · 19 clinicians
- West Coast Anesthesia Partners IncCamarillo, CA · 12 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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