MR. JEREMIAH SEAN TAN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1831438522

MR. JEREMIAH SEAN TAN (CRNA) is a healthcare provider. based in Hayward, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. NA 4346 (CA). The NPI Number for MR. JEREMIAH SEAN TAN (CRNA) is 1831438522

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. JEREMIAH SEAN TAN (CRNA)
NPI
1831438522
Phone
(510) 468-1882
Address
2681 DRIFTWOOD ST
Enumeration Date
31 January 2013
Last Update Date
11 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6502992000
Graduation Year
2012 (14 years ago)
PAC ID
2264677913
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20130328000348
Address ID
CA940632037RE1190XBLVD300

Contacts

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

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

2,470 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

Provider Addresses for MR. JEREMIAH SEAN TAN (CRNA)

  • 2681 DRIFTWOOD ST

    HAYWARD, CA 945451304

    Phone: (510) 468-1882

    Type: Mailing

  • 1150 VETERANS BLVD

    REDWOOD CITY, CA 940632037

    Phone: (650) 299-2000

    Type: Location

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: 2013-03-28

PECOS data refreshed: 2026-06-15

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
I20130328000348ICertified 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 94545)

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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: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
-MA
Emergency MedicineCA
-CA
Internal MedicineNY

Reviews

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Frequently asked questions

What is MR. JEREMIAH SEAN TAN (CRNA)'s NPI number?
MR. JEREMIAH SEAN TAN (CRNA)'s NPI is 1831438522 — the number used across U.S. healthcare to identify this provider.
Is MR. JEREMIAH SEAN TAN (CRNA) shown as active in public data?
Registry records indicate MR. JEREMIAH SEAN TAN (CRNA) maintains an active NPI.
What area of care is associated with MR. JEREMIAH SEAN TAN (CRNA)?
MR. JEREMIAH SEAN TAN (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is MR. JEREMIAH SEAN TAN (CRNA) located near Hayward?
MR. JEREMIAH SEAN TAN (CRNA) currently maps to Hayward, California in this extract.
Does MR. JEREMIAH SEAN TAN (CRNA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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