DR. PHILONG VAN TA M.D.
NPI 1760721658
Anesthesiology in Walnut, CA
About Dr. Philong Van Ta M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PHILONG VAN TA M.D. (NPI 1760721658) is an individual anesthesiology provider in Walnut, California, licensed in California (129302) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS and is a graduate of University Of Pittsburgh School Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Philong Van Ta M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Philong Ta reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lynwood, CA 90262
- Reassigned Medicare billing, California enrollment
- 83 clinicians in this Medicare group
Victorville, CA 92395
- Reassigned Medicare billing, California enrollment
- 34 clinicians in this Medicare group
Bakersfield, CA 93301
- Reassigned Medicare billing, California enrollment
- 56 clinicians in this Medicare group
Fresno, CA 93720
- Reassigned Medicare billing, California enrollment
- 293 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Philong Ta's NPI number?
The NPI number for Philong Ta is 1760721658. It was assigned to this individual provider in the NPPES registry on February 12, 2013.
Where is Philong Ta located?
Philong Ta practices at 19468 Empty Saddle Rd, Walnut, CA 91789. The listed phone number is (858) 361-9116.
What is Philong Ta's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Philong Ta enrolled in Medicare?
Yes. Philong Ta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Philong Ta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philong Ta reassigns Medicare benefits to 4 organizations: Landmark Anesthesia Medical Group (Lynwood, CA), Landmark Anesthesia Medical Group Prime (Victorville, CA), Excelle Anesthesia Services, Inc. (Bakersfield, CA) and Valley Regional Anesthesia Associates Inc (Fresno, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Philong Ta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Philong Ta was last updated on September 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.
# Dr. Philong Van Ta, M.D. · NPI 1760721658
Anesthesiology physician in Walnut, California. Individual provider, active in the CMS NPPES registry since February 12, 2013.
## Identity
- **NPI:** 1760721658 (Entity type: Individual)
- **Enumerated:** February 12, 2013
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 129302 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 19468 EMPTY SADDLE RD, Walnut, CA 91789-4290
- **Phone:** (858) 361-9116
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Landmark Anesthesia Medical Group (NPI 1770035024, Lynwood, CA); Landmark Anesthesia Medical Group Prime (NPI 1801430467, Victorville, CA); Excelle Anesthesia Services, Inc. (NPI 1689317208, Bakersfield, CA); Valley Regional Anesthesia Associates Inc (NPI 1578272415, Fresno, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Pittsburgh School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** September 15, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1760721658) · Data from the CMS NPPES public registry.