Individual provider Active NPI

Diana U Ta

  • Social Worker
  • San Jose, CA
National Provider Identifier
1134671597
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
136943 Issued in CA
Practice address
2203 Tully Rd
San Jose, CA 95122-1348
Phone
(408) 937-1553
Fax
(408) 937-1548
NPI assigned
Nov 1, 2016
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 136943 CA Primary
Case Manager/Care Coordinator 171M00000X CA

Addresses

Primary practice location

2203 Tully Rd
San Jose, CA 95122-1348

Mailing address

2670 S White Rd Ste 200
San Jose, CA 95148-2073
Phone (408) 937-1558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hoi Quan Cuu Long- Mekong Community Center Current Accepting new patients
Hoi-Quan Cuu Long Mekong Community Center Inc Current Accepting new patients

Locations

2203 Tully Rd
San Jose, CA 95122
Phone (408) 914-2880

2670 S White Rd
Ste 200
San Jose, CA 95148
Phone (408) 914-2880

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1134671597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 S WHITE RD STE 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482073",
            "telephone_number": "408-937-1558",
            "fax_number": "408-516-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 TULLY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221348",
            "telephone_number": "408-937-1553",
            "fax_number": "408-937-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TA",
        "first_name": "DIANA",
        "middle_name": "U",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "136943",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.