Zinnia Tan San Juan, MD

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

• Jefferson Healthcare Hospital · Port Townsend, WA
• Olympic Medical Center Hospital · Port Angeles, WA
• St Joseph Medical Center Hospital · Tacoma, WA
• Forks Community Hospital Hospital · Forks, WA
• St Michael Medical Center Hospital · Silverdale, WA

Colleagues at Franciscan Medical Group

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1417 clinicians in the practice; 12 are shown here.

• Dr. Kyle Bartol, DO Cardiovascular Disease Physician · Joint Base Lewis McChord, WA
• Jasleen Kaur Ghuman, MD Internal Medicine Physician · Tacoma, WA
• Jesse Adam Golodner, PA-C Physician Assistant · Seattle, WA
• Amanda Hudak, ARNP Primary Care Nurse Practitioner · University Place, WA
• Dr. Aparna Kadambi, MD Pulmonary Disease Physician · Tacoma, WA
• John Kuckelman Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Joint Base Lewis McChord, WA
• Dr. Kathleen Louise Overly, DNP Adult Health Nurse Practitioner · Tacoma, WA
• Mr. Randall Troy Siegenthaler Beck, PA-C Physician Assistant · Silverdale, WA
• Dr. Deepak Iyyadorai Sreedharan, MD Pain Medicine (Anesthesiology) Physician · Silverdale, WA
• Lorinda Marie Thompson, MSW, LICSW Clinical Social Worker · Silverdale, WA
• Dr. Hannah Elisa Valdes-Chenoweth, MD Obstetrics & Gynecology Physician · Enumclaw, WA
• Arvind Vasudevan, MD Pulmonary Disease Physician · Tacoma, WA

Other providers in Bremerton

• Hope Torregosa, MD

  Individual Endocrinology, Diabetes & Metabolism Physician · NPI 1992980130

  2601 Cherry Ave Ste 315, Bremerton, WA 98310-4203 · (360) 405-7900