| Vinh Quoc Ta, PA | |
|
3 Corporate Plaza Drive, Suite 140, Newport Beach, CA 92660-7980 | |
| (949) 642-7757 | |
| (949) 642-5091 |
| Full Name | Vinh Quoc Ta |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3 Corporate Plaza Drive, Newport Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710189006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA 16698 (California) | Primary |
| Entity Name | Mission City Community Network, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710102009 PECOS PAC ID: 1658264684 Enrollment ID: O20040204000544 |
| Entity Name | Foothills Psychological Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336121888 PECOS PAC ID: 9436157534 Enrollment ID: O20100318000835 |
| Entity Name | Foothills Psychological Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336121888 PECOS PAC ID: 9436157534 Enrollment ID: O20100414000905 |
| Entity Name | Joshua Kritsada Koh a Professional Psychiatric Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114249240 PECOS PAC ID: 8527014992 Enrollment ID: O20101112000222 |
| Mailing Address | Practice Location Address |
|---|---|
| Vinh Quoc Ta, PA Po Box 18228, Irvine, CA 92623-8228 Ph: (949) 955-2101 | Vinh Quoc Ta, PA 3 Corporate Plaza Drive, Suite 140, Newport Beach, CA 92660-7980 Ph: (949) 642-7757 |
Chelsea Vilicich, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4631 Teller Ave Ste 100, Newport Beach, CA 92660 Phone: 949-887-7187 |
Elizabeth Koprucki, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2075 San Joaquin Hills Rd, Newport Beach, CA 92660 Phone: 651-373-6604 |
Taylor Thanh-tam Nguyen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 Avocado Ave Ste 802, Newport Beach, CA 92660 Phone: 858-554-1212 Fax: 949-620-1222 |
Chelsee Jeanine Brubaker, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2075 San Joaquin Hills Rd, Newport Beach, CA 92660 Phone: 776-936-2668 |
Sally E. Decastro-tilsen, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 Newport Center Dr Ste 701, Newport Beach, CA 92660 Phone: 949-759-8001 Fax: 949-760-3671 |
Jennifer Hong Nguyen, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 Avocado Ave Ste 802, Newport Beach, CA 92660 Phone: 949-688-6062 |
Jill Ryan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1501 Westcliff Dr Ste 201, Newport Beach, CA 92660 Phone: 440-387-3114 |