VERNA O TAN (PA-C) – Surgical Physician Assistant, NPI 1174863971

VERNA O TAN (PA-C) is a healthcare provider. based in Livermore, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA15319 (CA). The NPI Number for VERNA O TAN (PA-C) is 1174863971

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
VERNA O TAN (PA-C)
NPI
1174863971
Phone
(925) 443-0980
Address
1074 MURRIETA BLVD
Enumeration Date
15 February 2013
Last Update Date
26 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9259327704
Graduation Year
1999 (27 years ago)
PAC ID
7214174796
Group Practice PAC ID
1052418175
Professional Enrollment ID
I20130501000390
Address ID
CA945982496WA355XXLNXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for VERNA O TAN (PA-C)

  • 1074 MURRIETA BLVD

    LIVERMORE, CA 945504111

    Phone: (925) 443-0980

    Type: Location

  • 5201 NORRIS CANYON RD

    SUITE 130

    SAN RAMON, CA 945835411

    Phone: (925) 277-1300

    Fax: (925) 277-1897

    Type: Location

  • 5314 ALAGRO CT

    DUBLIN, CA 945688728

    Phone: (925) 277-1300

    Fax: (925) 277-1897

    Type: Mailing

  • 5201 Norris Canyon Rd

    Suite 130

    San Ramon, CA 945835411

    Phone: (925) 277-1300

    Fax: (925) 277-1897

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 178 Open Payments records for all available years, with a total value of $4,752.

Total Amount is formed as General ($4,752) + Research ($0) + Ownership ($0) = $4,752.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: GENZYME CORPORATION ($495).

Total Amount

$4,752

General + Research + Ownership

Payments

178

Total payment records

General Amount

$4,752

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-05-01

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
I20130501000390IPhysician AssistantCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3245Injection, tildrakizumab, 1 mg2,10014$0
17003Destruction of precancer skin growth, 2-14 growths817121$0
99213Established patient office or other outpatient visit, 20-29 minutes465341$0
11102Biopsy of related skin growth, first growth221193$0
17000Destruction of precancer skin growth, 1 growth205163$0
View full utilization report →

Insurance plans in this area (ZIP 94550)

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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: 1052418175View full group profile
NameSpecialtyState
Physician AssistantWI
D E R M A T O L O G YCA
D E R M A T O L O G YCA
D E R M A T O L O G YCA
O T O L A R Y N G O L O G YCA
D E R M A T O L O G YCA
Physician AssistantCA
D E R M A T O L O G YCA
D E R M A T O L O G YCA
Physician AssistantGA

Reviews

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Frequently asked questions

How do I look up VERNA O TAN (PA-C) by NPI?
Use NPI 1174863971 when you need to reference VERNA O TAN (PA-C) in forms, claims, or directories.
Is VERNA O TAN (PA-C)'s NPI currently valid?
The extract we use shows VERNA O TAN (PA-C) as active.
What field does VERNA O TAN (PA-C) work in?
You can think of VERNA O TAN (PA-C) as practicing within Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for VERNA O TAN (PA-C)?
The page summarizes Livermore, California for VERNA O TAN (PA-C); expand the address list for detail.
Is VERNA O TAN (PA-C) a real provider?
This page reflects official NPPES data for NPI 1174863971. Always confirm identity and privileges with the practice and licensing boards.

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