Individual provider Active NPI

Phillip Anh Ta, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Irvine, CA
National Provider Identifier
1477932259
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A143914 Issued in CA
Practice address
15642 Sand Canyon Ave Unit 52791
Irvine, CA 92619-5294
Phone
(407) 619-5042
NPI assigned
May 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A143914 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

15642 Sand Canyon Ave Unit 52791
Irvine, CA 92619-5294

Mailing address

PO Box 52791
Irvine, CA 92619-2791
Phone (951) 310-8232

Other practice location 1

790 E Willow St
200
Long Beach, CA 90806-2718
Phone (562) 528-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190411001587 CA Practitioner - Physical Medicine and Rehabilitation 3577804921 Reassigns benefits to 2 organizations
Practice locations: Mission Viejo, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Associates PTRGroup PAC ID 5597663351, 7 clinicians
Integrative Sports and Spine IncGroup PAC ID 7012230212, 24 clinicians

Practice addresses (Care Compare)

790 E Willow St
Suite 200
Long Beach, CA 90806-2718
Phone (562) 424-8111

9080 Irvine Ctr Dr
Irvine, CA 92618-4658
Phone (562) 997-2172

Hospital & facility affiliations

  • United Integrity Home Health Inc Home health agency, Garden Grove, CA, CCN 058367
  • Excellence Home Health Care Agency Inc Home health agency, Chino, CA, CCN 058290
  • Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567
  • Encompass Health Rehabilitation Hospital of Tustin Inpatient rehabilitation facility, Tustin, CA, CCN 053034
  • Mission Hospital Inpatient rehabilitation facility, Mission Viejo, CA, CCN 05T567

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
85.24 of 100Reported as group
Quality
70.86
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A143914CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Sports and Spine Inc CurrentSince Feb 8, 2019 Accepting new patients
Rehabilitation Associates PTR Physical Medicine & Rehabilitation CurrentSince Jun 5, 2019 Accepting new patients

Locations

3435 W Ball Rd
Anaheim, CA 92804
Phone (213) 389-6900

17836 Woodruff Ave
Bellflower, CA 90706
Phone (556) 292-5845

7777 Sunrise Blvd
Ste 2500
Citrus Hts, CA 95610
Phone (562) 997-2171

9080 Irvine Center Dr
Irvine, CA 92618
Phone (949) 540-5641

2683 Pacific Ave
Long Beach, CA 90806
Phone (562) 997-2171

790 E Willow St
Ste 200
Long Beach, CA 90806
Phone (562) 424-8111

1601 Dove St
Ste 275
Newport Beach, CA 92660
Phone (310) 853-6390

7039 Alondra Blvd
Paramount, CA 90723
Phone (562) 531-0990

600 E Washington Ave
Santa Ana, CA 92701
Phone (714) 973-1656

1150 Tilton Dr
Sunnyvale, CA 94087
Phone (408) 735-2700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1477932259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52791",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926192791",
            "telephone_number": "951-310-8232",
            "fax_number": "951-688-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15642 SAND CANYON AVE UNIT 52791",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926195294",
            "telephone_number": "407-619-5042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 E WILLOW ST",
            "address_2": "200",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908062718",
            "country_code": "US",
            "telephone_number": "562-528-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TA",
        "first_name": "PHILLIP",
        "middle_name": "ANH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-26",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A143914",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.