Namtran Nguyen Ta, AGNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

95007829 Issued in CA

Practice address

8561 Meadow Brook Ave Unit 103
Garden Grove, CA 92844-1270

Phone

(801) 755-8138

NPI assigned

Apr 2, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Omni Integrated Medical Group Inc

  • General Practice Physician
  • Placentia, CA
  • NPI 1366208845
  NPD

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1528564291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8561 MEADOW BROOK AVE UNIT 103",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441270",
            "telephone_number": "801-755-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8561 MEADOW BROOK AVE UNIT 103",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441270",
            "telephone_number": "801-755-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TA",
        "first_name": "NAMTRAN",
        "middle_name": "NGUYEN",
        "name_prefix": "Ms.",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95007829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Michael Swingle, M.S., CCC-SLP
• Synergy Homecare of Garden Grove
• Adrianna Rayn Szlachciuk
• T.R.Rhee,M.D.Inc
• Huong Ta, L.AC.
• Ryan Taban, M.D.
• Matthew Julian Tabarez, PT, DPT
• Sarah Thaer Tabla
• Marco Tacadena
• Victor Viet Tadang, DDS

• Gerontology Nurse Practitioner in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.