MINHTRI TA MD
NPI 1063114692
Radiology - Diagnostic Radiology in Riverside, CA

Q: What is Minhtri Ta's NPI number?

The NPI number for Minhtri Ta is 1063114692. It was assigned to this individual provider in the NPPES registry on March 20, 2023. The provider is also known as Mitchell Ta MD.

Q: What is Minhtri Ta's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Minhtri Ta was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 20, 2023PECOS Enrolled

4445 MAGNOLIA AVE, RIVERSIDE, CA 92501(951) 788-3000 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2024, Dec 14, 2024, Mar 20, 2023 (3 updates tracked since 2023).

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About Minhtri Ta Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINHTRI TA MD (NPI 1063114692) is an individual diagnostic radiology provider in Riverside, California, licensed in California (12979) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063114692

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameMINHTRI TACredential: MD

Location Address4445 MAGNOLIA AVERiverside, CA 92501-4199

Mailing Address4445 Magnolia AveRiverside, CA 92501-4199

Phone(951) 788-3000

Sole ProprietorNo

Enumeration DateMarch 20, 2023

Last NPPES UpdateDecember 17, 20243 updates tracked since enumeration

NPPES CertifiedDecember 17, 2024

✔ NPI 1063114692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in CA · 12979

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

4445 MAGNOLIA AVE, Riverside, CA 92501

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Other Names 1

Other Name (5)Mitchell Ta Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Minhtri Ta Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DAVID W LEVINE PA-C

Physician Assistant