Philong Van Ta, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

129302 Issued in CA

Practice address

19468 Empty Saddle Rd
Walnut, CA 91789-4290

Phone

(858) 361-9116

NPI assigned

Feb 12, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

University of Pittsburgh School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excelle Anesthesia Services IncGroup PAC ID 4688046774, 41 clinicians

Valley Regional Anesthesia Associates IncGroup PAC ID 3870964323, 143 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Hospital, Bakersfield, CA, CCN 050295
• Doctors Medical Center Hospital, Modesto, CA, CCN 050464
• Good Samaritan Hospital, LP Hospital, Bakersfield, CA, CCN 050257

Merit-based Incentive Payment System (MIPS)

Final score

63.03 of 100Reported as group

Quality

44.74

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Excelle Anesthesia Services, Inc.

  • Anesthesiology Physician
  • Bakersfield, CA
  • NPI 1689317208
  Medicare reassignment Care Compare group NPD
• Valley Regional Anesthesia Associates Inc

  • Anesthesiology Physician
  • Fresno, CA
  • NPI 1578272415
  Medicare reassignment Care Compare group NPD
• Landmark Anesthesia Medical Group

  dba Landmark Anesthesia Medical Group LLUMC

  • Anesthesiology Physician
  • Lynwood, CA
  • NPI 1770035024
  Medicare reassignment NPD
• Landmark Anesthesia Medical Group Prime

  • Anesthesiology Physician
  • Victorville, CA
  • NPI 1801430467
  Medicare reassignment
• Propophil, Inc

  • Anesthesiology Physician
  • Walnut, CA
  • NPI 1053711424
  NPD (past) Authorized official

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

• Dignity Health

  dba Mercy Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1104981661
  Care Compare affiliation
• Doctors Medical Center of Modesto, Inc.

  dba Doctors Medical Center of Modesto

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1184654923
  Care Compare affiliation
• Good Samaritan Hospital Ca LTD PTP

  dba Good Samaritan Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1205852209
  Care Compare affiliation

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1760721658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19468 EMPTY SADDLE RD",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917894290",
            "telephone_number": "858-361-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19468 EMPTY SADDLE RD",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917894290",
            "telephone_number": "858-361-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TA",
        "first_name": "PHILONG",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-12",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "129302",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "272677-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Walnut, CA
• Providers in Walnut, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.