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 | 14 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 |
---|---|---|
Doctors Medical Center | Modesto, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Valley Regional Anesthesia Associates Inc | 3870964323 | 49 |
Advanced Anesthesia Incorporated | 4880936145 | 67 |
Landmark Anesthesia Medical Group | 5698055804 | 27 |
Landmark Anesthesia Medical Group Prime | 5890122683 | 9 |
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 |
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 |