Dong Quang Ta, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC26659 Issued in CA

Practice address

2248 S Garey Ave
Pomona, CA 91766-5616

Phone

(909) 464-0992

Fax

(909) 464-0913

NPI assigned

Feb 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1508909516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W WALNUT ST APT 51",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917626675",
            "telephone_number": "909-464-0992",
            "fax_number": "909-464-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2248 S GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917665616",
            "telephone_number": "909-464-0992",
            "fax_number": "909-464-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TA",
        "first_name": "DONG",
        "middle_name": "QUANG",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0266591",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney Hendricks LLC
• Sympathy Home Health Care Inc
• Sympathy Hospice Care, Inc.
• Steven Douglas Szarzynski, D.D.S.
• Ethan Szczesniak
• Michael Daniel Ta
• Queenie Ta
• Quynh-Anh Ta, PA-C
• Thanh Ta
• Raghad Tabaza, PSYD

• Chiropractor in Pomona, CA
• Providers in Pomona, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.