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SANNA TAM
NPI 1740915073
Nurse Practitioner - Gerontology in North Hills, CA

Active since July 20, 2022PECOS Enrolled
16111 PLUMMER ST, NORTH HILLS, CA 91343(818) 891-7711 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 30, 2023, Dec 12, 2022, Aug 30, 2022 and 1 more (4 updates tracked since 2022).

About Sanna Tam NPPES

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

SANNA TAM (NPI 1740915073) is an individual gerontology provider in North Hills, California, licensed in California (95021761) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1740915073
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSANNA TAM
Location Address16111 PLUMMER STNorth Hills, CA 91343-2036
Mailing Address415 W Valley Blvd Ste CSan Gabriel, CA 91776-3728
Phone(818) 891-7711
Sole ProprietorYes
Enumeration DateJuly 20, 2022
Last NPPES UpdateAugust 29, 20254 updates tracked since enumeration
NPPES CertifiedAugust 29, 2025
✔ NPI 1740915073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in CA · 95021761
16111 PLUMMER ST, North Hills, CA 91343
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Secondary Practice Location 1

Location 111301 Wilshire BlvdLos Angeles, CA 90073-1003 · Phone (310) 478-3711

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sanna Tam 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91343 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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.

MR. PAUL FLOYD BURTON MSW,LCSW
Social Worker (Clinical)
16111 PLUMMER ST, BLDG. 200, ROOM 2437
NORTH HILLS, CA 91343
Los Angeles County (818) 895-9596
WEST LOS ANGELES VAMC
Department of Veterans Affairs (VA) Pharmacy
16111 PLUMMER ST
SEPULVEDA, CA 91343
Los Angeles County (310) 268-3152
WILLIAM BATEMAN RPH
Pharmacist (Pharmacotherapy)
16111 PLUMMER ST
SEPULVEDA, CA 91343
Los Angeles County (818) 891-7711
MRS. LINDA FAY KUTZBACH FNP
Registered Nurse
16111 PLUMMER ST, BLDG 99
NORTH HILLS, CA 91343
Los Angeles County (818) 891-7711
MS. YVONNE JOSEPHINE GARCIA NP
Nurse Practitioner (Primary Care)
16111 PLUMMER ST
NORTH HILLS, CA 91343
Los Angeles County (818) 891-7711
MS. LESLIE NITTA M.S.
Speech-Language Pathologist
16111 PLUMMER ST, BLDG. 200, ROOM 2409
SEPULVEDA, CA 91343
Los Angeles County (818) 891-7711
MS. SUSAN CALLIE WIGHT RN
Registered Nurse (Psychiatric/Mental Health)
16111 PLUMMER ST, OOPW
SEPULVEDA, CA 91343
Los Angeles County (818) 895-9555
MEGHANA FRENCHMAN MD
Internal Medicine
16111 PLUMMER ST, BLDG 10, HPACT CLINIC
NORTH HILLS, CA 91343
Los Angeles County (310) 478-3711

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 Sanna Tam's NPI number?

The NPI number for Sanna Tam is 1740915073. It was assigned to this individual provider in the NPPES registry on July 20, 2022.

Where is Sanna Tam located?

Sanna Tam practices at 16111 Plummer St, North Hills, CA 91343. The listed phone number is (818) 891-7711.

What is Sanna Tam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Sanna Tam enrolled in Medicare?

Yes. Sanna Tam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sanna Tam was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.