Ms Kimberly Ta, - Medicare Nurse Practitioner in San Diego, CA

Ms Kimberly Ta, is a medicare enrolled "Nurse Practitioner - Family" in San Diego, California. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sotara Manalo Rico Professional Medical Corporation and her current practice location is 16745 W Bernardo Dr Ste 240, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 592-2000.

Ms Kimberly Ta is licensed to practice in California (license number 95018697) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639839418.

Contact Information

Ms Kimberly Ta,
16745 W Bernardo Dr Ste 240,
San Diego, CA 92127-1908
(858) 592-2000
Not Available

Map and Direction




Provider's Profile

Full NameMs Kimberly Ta
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location16745 W Bernardo Dr Ste 240, San Diego, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Kimberly Ta graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1639839418
  • Provider Enumeration Date: 12/21/2021
  • Last Update Date: 08/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8921499856
  • Enrollment ID: I20220103000648

Medical Identifiers

Medical identifiers for Ms Kimberly Ta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639839418NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95018697 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sotara Manalo Rico Professional Medical Corporation16586441823

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Kimberly Ta allows following entities to bill medicare on her behalf.
Entity NameSotara Manalo Rico Professional Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962932632
PECOS PAC ID: 1658644182
Enrollment ID: O20170906000723

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kimberly Ta is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Kimberly Ta,
13458 Treasure Way,
Chino Hills, CA 91709-1223

Ph: (909) 720-4805
Ms Kimberly Ta,
16745 W Bernardo Dr Ste 240,
San Diego, CA 92127-1908

Ph: (858) 592-2000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.