Ta Community Medical Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

TA COMMUNITY MEDICAL CLINIC

Practice address

502 Euclid Ave Ste 302
National City, CA 91950-2995

Phone

(619) 330-7402

Fax

(619) 330-5494

NPI assigned

Mar 27, 2025

Organization subpart

No

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

Authorized official

Name

Shaik Saheb, MDNPI 1336228857

Title

Executive Director

Phone

(619) 330-7402

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Aboo Nasar, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • San Diego, CA
  • NPI 1871533380
  Medicare reassignment NPD
• Shaik M Saheb, M.D.

  • Specialist
  • Newhall, CA
  • NPI 1336228857
  NPD Authorized official

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1942003991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4263 TIERRA REJADA RD # 188",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213772",
            "telephone_number": "619-330-7402",
            "fax_number": "619-330-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 EUCLID AVE STE 302",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502995",
            "telephone_number": "619-330-7402",
            "fax_number": "619-330-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TA COMMUNITY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "SAHEB",
        "authorized_official_first_name": "SHAIK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "619-330-7402",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliot James Sutton-Inocencio, PMHNP
• Austine Pintor Suva, IDC
• Sweetwater Medical Supply Inc
• Troy Swimmer
• Sidonia B Szem
• Brian T Tabila, M.D.
• Talami Health Care LLC
• Miriam Jimenez Tamoria, DMD
• Angela Tang
• Latsamy Tanovan

• Primary Care Clinic/Center in National City, CA
• Providers in National City, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.