SYDNIE DONG – Certified Registered Nurse Anesthetist, NPI 1063138238

SYDNIE DONG is a healthcare provider. based in Santa clara, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 95001864 (CA). The NPI Number for SYDNIE DONG is 1063138238

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
SYDNIE DONG
NPI
1063138238
Phone
Not provided
Address
700 LAWRENCE EXPY
Enumeration Date
18 October 2022
Last Update Date
9 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4159252880
Graduation Year
2022 (4 years ago)
PAC ID
0446620215
Group Practice PAC ID
2567858764
Professional Enrollment ID
I20230112001676
Address ID
CA949041745GR350XXRDXX401

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Other namesUpdated within 12 months

2,455 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

Provider Addresses for SYDNIE DONG

  • 700 LAWRENCE EXPY

    SANTA CLARA, CA 950515173

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230112001676ICertified Registered Nurse Anesthetist (Crna)CATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95051)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567858764View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)NV
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

What is SYDNIE DONG's NPI number?
SYDNIE DONG's NPI is 1063138238 — the number used across U.S. healthcare to identify this provider.
Is there an active status for SYDNIE DONG?
For scheduling context, SYDNIE DONG is shown as active in the registry.
What area of care is associated with SYDNIE DONG?
SYDNIE DONG's record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is SYDNIE DONG located near Santa Clara?
SYDNIE DONG currently maps to Santa Clara, California in this extract.
Does SYDNIE DONG accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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