Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Via Geronga Tan, CRNA

Individual provider Registered Nurse · NPI 1659962454

MS. Via Geronga Tan, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Van Nuys, California. Qualified in 2021, 5 years ago. Practices with Concierge Anesthesia, a 19-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

15107 Vanowen St
Van Nuys, CA 91405-4542
Phone: (818) 782-6600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 — (310) 478-3711

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95001439 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 685385 (CA)

Record details

NPI number1659962454
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 3, 2021
Last updated in NPPESApril 21, 2022
Certification dateApril 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Concierge Anesthesia — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Van Nuys