| Dr Philong Van Ta, MD | |
|
19468 Empty Saddle Rd, Walnut, CA 91789-4290 | |
| (858) 361-9116 | |
| Not Available |
| Full Name | Dr Philong Van Ta |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 15 Years |
| Location | 19468 Empty Saddle Rd, Walnut, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760721658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 129302 (California) | Primary |
| 207L00000X | Anesthesiology | 272677-1 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital | Bakersfield, CA | Hospital |
| Doctors Medical Center | Modesto, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Regional Anesthesia Associates Inc | 3870964323 | 152 |
| Excelle Anesthesia Services Inc | 4688046774 | 35 |
| Entity Name | Landmark Anesthesia Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770035024 PECOS PAC ID: 5698055804 Enrollment ID: O20161206000144 |
| Entity Name | Advanced Anesthesia Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720543762 PECOS PAC ID: 4880936145 Enrollment ID: O20190507001500 |
| Entity Name | Landmark Anesthesia Medical Group Prime |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801430467 PECOS PAC ID: 5890122683 Enrollment ID: O20200217000203 |
| Entity Name | Valley Regional Anesthesia Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578272415 PECOS PAC ID: 3870964323 Enrollment ID: O20230120001928 |
| Entity Name | Excelle Anesthesia Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689317208 PECOS PAC ID: 4688046774 Enrollment ID: O20230220000629 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Philong Van Ta, MD 19468 Empty Saddle Rd, Walnut, CA 91789-4290 Ph: (858) 361-9116 | Dr Philong Van Ta, MD 19468 Empty Saddle Rd, Walnut, CA 91789-4290 Ph: (858) 361-9116 |
Sherif S Girgis, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1530 Leanne Ter, Walnut, CA 91789 Phone: 951-741-6443 |