EVAN KWAN MD
NPI 1174056220
Anesthesiology in Santa Rosa, CA
About Evan Kwan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVAN KWAN MD (NPI 1174056220) is an individual anesthesiology provider in Santa Rosa, California, licensed in California (A138013) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Evan Kwan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Evan Kwan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SANTA ROSA, CA 95403
SANTA ROSA, CA 95403
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 Evan Kwan's NPI number?
The NPI number for Evan Kwan is 1174056220. It was assigned to this individual provider in the NPPES registry on April 6, 2017.
Where is Evan Kwan located?
Evan Kwan practices at 401 Bicentennial Way, Santa Rosa, CA 95403. The listed phone number is (707) 393-4000.
What is Evan Kwan's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Evan Kwan enrolled in Medicare?
Yes. Evan Kwan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Evan Kwan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evan Kwan reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Evan Kwan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Evan Kwan was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Evan Kwan, MD · NPI 1174056220
Anesthesiology physician in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since April 6, 2017.
## Identity
- **NPI:** 1174056220 (Entity type: Individual)
- **Enumerated:** April 6, 2017
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** A138013 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 401 BICENTENNIAL WAY, Santa Rosa, CA 95403-2149
- **Phone:** (707) 393-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 6, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1174056220) · Data from the CMS NPPES public registry.