Vinh Quoc Ta, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 16698 Issued in CA

Practice address

3 Corporate Plaza Drive
Suite 140
Newport Beach, CA 92660-7980

Phone

(949) 642-7757

Fax

(949) 642-5091

NPI assigned

May 31, 2007

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Foothills Psychological Services, Inc.

  • Psychologist
  • Upland, CA
  • NPI 1336121888
  Medicare reassignment
• Joshua Kritsada Koh a Professional Psychiatric Corporation

  • Psychiatry Physician
  • San Dimas, CA
  • NPI 1114249240
  Medicare reassignment
• Mission City Community Network, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hollywood, CA
  • NPI 1710102009
  Medicare reassignment
• Health Service Alliance

  • Family Medicine Physician
  • Hesperia, CA
  • NPI 1689492167
  NPD
• Mission City Community Network, Inc.

  • Community Health Clinic/Center
  • North Hills, CA
  • NPI 1710370747
  NPD
• Providence Medical Foundation

  • Family Medicine Physician
  • Brea, CA
  • NPI 1871607762
  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1710189006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18228",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926238228",
            "telephone_number": "949-955-2101",
            "fax_number": "949-390-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CORPORATE PLAZA DRIVE",
            "address_2": "SUITE 140",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607980",
            "telephone_number": "949-642-7757",
            "fax_number": "949-642-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TA",
        "first_name": "VINH",
        "middle_name": "QUOC",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 16698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Synergy Authorization Services
• Synergy Health Concepts
• Marilyn Syrett, D.O.
• T.Eftekhari,DDS,Inc
• T.M. Kalra, M.D., a Professional Corporation
• Kiana Taba, M.D.
• Benjamin Tabak, PHD
• Shahzad Tabatabaee
• Niloofar Tabatabai, L.AC. O.M.D
• Sara Tabrizi

• Physician Assistant in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Physician Assistant in California

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