Ashley Mytrinh Ta, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT12442 Issued in CA

Practice address

30688 Benton Rd Ste B101
Winchester, CA 92596-8469

Phone

(951) 926-4411

Fax

(951) 926-4399

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1295846814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39901 WILLOWBEND DR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925635209",
            "telephone_number": "727-656-0347",
            "fax_number": "727-373-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30688 BENTON RD STE B101",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925968469",
            "telephone_number": "951-926-4411",
            "fax_number": "951-926-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TA",
        "first_name": "ASHLEY",
        "middle_name": "MYTRINH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3834",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC3834",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly C Starbuck, MA, BCBA
• Nicole Stock, LPC
• Brenda Lynn Stover, RD
• Taylor Stratton, MS CCC-SLP
• Christine Ann Swerczek, FNP
• Jessica Marie Taylor
• Lenora Taylor
• Michelle Le Taylor, ACSM-CEP
• Tayna Chessman Dba Socal Doulas
• Kristen Marie Telon, LMFT

• Optometrist in Winchester, CA
• Providers in Winchester, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.