CORNELIA TJANDRA FNP
NPI 1841466406
Nurse Practitioner - Family in San Bruno, CA

Active since May 05, 2008PECOS EnrolledAccepts Medicare Assignment
3300 COLLEGE DR BLDG 19, SAN BRUNO, CA 94066(650) 738-4270 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Cornelia Tjandra Fnp NPPES

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

CORNELIA TJANDRA FNP (NPI 1841466406) is an individual family provider in San Bruno, California, licensed in California (17905) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1841466406
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCORNELIA TJANDRACredential: FNP
Location Address3300 COLLEGE DR BLDG 19San Bruno, CA 94066-1698
Mailing Address5315 Pacific Terrace CtCastro Valley, CA 94552-5539 · (510) 876-8110
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 5, 2008
Last NPPES UpdateMarch 8, 2023
NPPES CertifiedMarch 8, 2023
✔ NPI 1841466406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · 17905✔ Licensed in MD · R196275
3300 COLLEGE DR BLDG 19, San Bruno, CA 94066

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cornelia Tjandra Fnp 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 ID7719041318
PECOS Enrollment IDI20111010000360
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 94066 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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

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

Registered Nurse
3300 COLLEGE DR BLDG 19
SAN BRUNO, CA 94066

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 Cornelia Tjandra's NPI number?

The NPI number for Cornelia Tjandra is 1841466406. It was assigned to this individual provider in the NPPES registry on May 5, 2008.

Where is Cornelia Tjandra located?

Cornelia Tjandra practices at 3300 College Dr Bldg 19, San Bruno, CA 94066. The listed phone number is (650) 738-4270.

What is Cornelia Tjandra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Cornelia Tjandra enrolled in Medicare?

Yes. Cornelia Tjandra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Cornelia Tjandra was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.