QUAN TA MD
NPI 1902296692
Psychiatry & Neurology - Psychiatry in Oakland, CA

Active since February 02, 2015PECOS EnrolledAccepts Medicare Assignment
3900 BROADWAY, OAKLAND, CA 94611(510) 752-1075 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 8, 2025, Mar 6, 2023, Apr 25, 2022 and 2 more (5 updates tracked since 2016).

About Quan Ta Md NPPES

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

QUAN TA MD (NPI 1902296692) is an individual psychiatry provider in Oakland, California, licensed in California (A175731) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (2016).

NPPES Registry Identity

NPI1902296692
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameQUAN TACredential: MD
Location Address3900 BROADWAYOakland, CA 94611-5600
Mailing Address3900 BroadwayOakland, CA 94611-5600 · (510) 752-1075
Sole ProprietorYes
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2016
Enumeration DateFebruary 2, 2015
Last NPPES UpdateJuly 8, 20255 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
NPI 1902296692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in CA · A175731
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

3900 BROADWAY, Oakland, CA 94611

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

Quan Ta Md 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 ID941593073
PECOS Enrollment IDI20230427002198
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 94611 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

Psychologist
3900 BROADWAY, BUILDING 1, ROOM 312
OAKLAND, CA 94611
Psychologist (Clinical)
3900 BROADWAY
OAKLAND, CA 94611
Social Worker (Clinical)
3900 BROADWAY, BLDG 2
OAKLAND, CA 94611
Social Worker (Clinical)
3900 BROADWAY
OAKLAND, CA 94611
Social Worker (Clinical)
3900 BROADWAY
OAKLAND, CA 94611
General Acute Care Hospital
3900 BROADWAY, BUILDING A
OAKLAND, CA 94611
Social Worker (Clinical)
3900 BROADWAY
OAKLAND, CA 94611
Social Worker (Clinical)
3900 BROADWAY
OAKLAND, CA 94611

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902296692, enumerated as an "individual" on February 02, 2015.

The provider is located at 3900 BROADWAY OAKLAND, CA 94611 and the phone number is (510) 752-1075.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.