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

Verna O Tan, PA-C

Individual provider Surgical Physician Assistant · NPI 1174863971

Verna O Tan, PA-C is a Physician Assistant in Livermore, California. Qualified in 1999, 27 years ago. Practices with Golden State Dermatology Associates, Inc, a 119-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
27
Licensed in
CA
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1074 Murrieta Blvd
Livermore, CA 94550-4111
Phone: (925) 443-0980
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5201 Norris Canyon Rd, San Ramon, CA 94583-5411 — (925) 277-1300

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA15319 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 15319 (CA)

Record details

NPI number1174863971
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 15, 2013
Last updated in NPPESNovember 26, 2024
Certification dateNovember 26, 2024
Mailing address5314 Alagro Ct, Dublin, CA 94568-8728

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Golden State Dermatology Associates, Inc. — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare