COURTNEY TA
NPI 1821687047
Physician Assistant in Anaheim, CA

Active since January 12, 2021PECOS EnrolledAccepts Medicare Assignment
3400 W BALL RD STE 104, ANAHEIM, CA 92804(949) 432-9989 Get Directions Write a Review

NPPES record last updated: May 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2022, Feb 15, 2022, Jun 8, 2021 and 1 more (4 updates tracked since 2021).

About Courtney Ta NPPES

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

COURTNEY TA (NPI 1821687047) is an individual physician assistant in Anaheim, California and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1821687047
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCOURTNEY TA
Location Address3400 W BALL RD STE 104Anaheim, CA 92804-3735
Mailing Address3151 Airway Ave Ste T3Costa Mesa, CA 92626-4627
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 12, 2021
Last NPPES UpdateMay 21, 20224 updates tracked since enumeration
NPPES CertifiedMay 21, 2022
NPI 1821687047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3400 W BALL RD STE 104, Anaheim, CA 92804

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Courtney Ta 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.

PECOS PAC ID3072994441
PECOS Enrollment IDI20220715001599
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
208 services69 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
150 services56 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
52 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92804 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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

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

Allergy & Immunology (Allergy)
3400 W BALL RD STE 104
ANAHEIM, CA 92804

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 Courtney Ta's NPI number?

The NPI number for Courtney Ta is 1821687047. It was assigned to this individual provider in the NPPES registry on January 12, 2021.

Where is Courtney Ta located?

Courtney Ta practices at 3400 W Ball Rd Ste 104, Anaheim, CA 92804. The listed phone number is (949) 432-9989.

What is Courtney Ta's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Courtney Ta enrolled in Medicare?

Yes. Courtney 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.

When was this NPI record last updated?

The NPPES record for Courtney Ta was last updated on May 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.