NPIMap

Organization Active NPI

Viet D. Ta, MD & Tiffany L. Quan, MD Medical Associates Inc.

  • Family Medicine Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1497760987
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A69957 Issued in CA
Legal business name
VIET D. TA, MD & TIFFANY L. QUAN, MD MEDICAL ASSOCIATES INC.
Practice address
8235 Rochester Ave Ste 110
Rancho Cucamonga, CA 91730-0719
Phone
(909) 484-4900
Fax
(909) 243-7868
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Dr. Viet Duy Ta, M.D.
Title
President
Phone
(909) 484-4900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A69957 CA Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X A77358 CA

Addresses

Primary practice location

8235 Rochester Ave Ste 110
Rancho Cucamonga, CA 91730-0719

Mailing address

8235 Rochester Ave Ste 110
Rancho Cucamonga, CA 91730-0719
Phone (909) 484-4900

Other identifiers 1

IdentifierTypeStateIssuer
GR0096040MedicaidCA

Other names 1

  • Foothill Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

8235 Rochester Ave
Ste 110
Rch Cucamonga, CA 91730
Phone (909) 484-4900

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1497760987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 ROCHESTER AVE STE 110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300719",
            "telephone_number": "909-484-4900",
            "fax_number": "909-243-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 ROCHESTER AVE STE 110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300719",
            "telephone_number": "909-484-4900",
            "fax_number": "909-243-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIET D. TA, MD & TIFFANY L. QUAN, MD MEDICAL ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "TA",
        "authorized_official_first_name": "VIET",
        "authorized_official_middle_name": "DUY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-484-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A69957",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A77358",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0096040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothill Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.