SARA TOM FNP-C
NPI 1831709617
Nurse Practitioner - Family in Tarzana, CA
About Sara Tom Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARA TOM FNP-C (NPI 1831709617) is an individual family provider in Tarzana, California, licensed in California (95014839) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Simi Valley.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sara Tom Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sara Tom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Simi Valley, CA 93065
- Reassigned Medicare billing, California enrollment
- 710 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91335 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Sara Tom's NPI number?
The NPI number for Sara Tom is 1831709617. It was assigned to this individual provider in the NPPES registry on August 5, 2020.
Where is Sara Tom located?
Sara Tom practices at 19353 Victory Blvd, Tarzana, CA 91335. The listed phone number is (818) 996-4742.
What is Sara Tom's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sara Tom enrolled in Medicare?
Yes. Sara Tom is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sara Tom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sara Tom reassigns Medicare benefits to County Of Ventura (Simi Valley, 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 Sara Tom'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 Sara Tom was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Sara Tom, FNP-C · NPI 1831709617
Family physician in Tarzana, California. Individual provider, active in the CMS NPPES registry since August 5, 2020.
## Identity
- **NPI:** 1831709617 (Entity type: Individual)
- **Enumerated:** August 5, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95014839 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 19353 VICTORY BLVD, Tarzana, CA 91335-6302
- **Phone:** (818) 996-4742
## 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:** County Of Ventura (NPI 1013139658, Simi Valley, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1831709617) · Data from the CMS NPPES public registry.