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TANNER FREDIANI MD
NPI 1003605221
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Active since May 05, 2025PECOS Enrolled
1101 VAN NESS AVE # 1120, SAN FRANCISCO, CA 94109(415) 600-3954 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tanner Frediani Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANNER FREDIANI MD (NPI 1003605221) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003605221
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTANNER FREDIANICredential: MD
Location Address1101 VAN NESS AVE # 1120San Francisco, CA 94109-6919
Mailing Address1101 Van Ness Ave # 1120San Francisco, CA 94109-6919
Phone(415) 600-3954
Sole ProprietorNo
Enumeration DateMay 5, 2025
NPPES CertifiedMay 4, 2025
✔ NPI 1003605221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1101 VAN NESS AVE # 1120, San Francisco, CA 94109
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tanner Frediani Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA JOSEPH
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE # 1120
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-3954
ANNA THIEMANN
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE # 1120
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-3954
MARIAM SADAT HOSSEINI GOHAR MD
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE # 1120
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-3954
LUCA BREMNER
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE # 1120
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-3954
MARK OET MD
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE # 1120
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-3954
MARANATHA TEFERI
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE # 1120
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-6000
CHRISTOPHER DOMANSKI
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE # 1120
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-3954
ROBERT-LOUIS HOLLINGSWORTH
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE # 1120
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-3954

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanner Frediani's NPI number?

The NPI number for Tanner Frediani is 1003605221. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Where is Tanner Frediani located?

Tanner Frediani practices at 1101 Van Ness Ave # 1120, San Francisco, CA 94109. The listed phone number is (415) 600-3954.

What is Tanner Frediani's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tanner Frediani enrolled in Medicare?

Yes. Tanner Frediani is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tanner Frediani was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.