CAROLINE TAN RN
NPI 1497436653
Nurse Anesthetist, Certified Registered in Fontana, CA

Q: What is Caroline Tan's NPI number?

The NPI number for Caroline Tan is 1497436653. It was assigned to this individual provider in the NPPES registry on July 28, 2023.

Q: What is Caroline Tan's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Caroline Tan was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since July 28, 2023Accepts Medicare Assignment

9961 SIERRA AVE, FONTANA, CA 92335(833) 574-2273 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 30, 2024, Sep 18, 2024, Jul 28, 2023 (3 updates tracked since 2023).

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About Caroline Tan Rn NPPES

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

CAROLINE TAN RN (NPI 1497436653) is an individual nurse anesthetist, certified registered in Fontana, California, licensed in California (95173476) and active in the NPI registry since July 2023. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1497436653

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameCAROLINE TANCredential: RN

Location Address9961 SIERRA AVEFontana, CA 92335-6720

Mailing Address100 S Los Robles Ave # 501Pasadena, CA 91101-2453

Phone(833) 574-2273

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 28, 2023

Last NPPES UpdateDecember 30, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2024

✔ NPI 1497436653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in CA · 95173476

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

9961 SIERRA AVE, Fontana, CA 92335

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Caroline Tan Rn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294263174

PECOS Enrollment IDI20250724000215

Medicare Billing Reassignments

Medicare enrollment records show Caroline Tan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group

Same address

Health Maintenance Organization

9961 SIERRA AVE
Fontana, CA 92335

Reassigned Medicare billing, California enrollment
5,228 clinicians in this Medicare group

NPI 1689606196 (909) 427-3910

Advanced Anesthesia Services, PLLC

967 mi

Nurse Anesthetist, Certified Registered

1260 116TH AVE NE STE 110
Bellevue, WA 98004

Reassigned Medicare billing, Washington enrollment
56 clinicians in this Medicare group

NPI 1700211786 (206) 330-6722

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92335 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SHEILA ANN VANALLEN PT

Physical Therapist

9961 SIERRA AVE, BUILDING 3A
FONTANA, CA 92335

San Bernardino County (909) 427-7727

MR. JAMES DAVID KILLEEN III M.D.

Pediatrics

9961 SIERRA AVE, KAISER PERMANENTE FONTANA - PEDIATRICS
FONTANA, CA 92335

San Bernardino County (909) 427-6960

MR. DHIRESH N PATEL RPH

Pharmacist