TA COMMUNITY MEDICAL CLINIC
NPI 1942003991
Clinic/Center - Primary Care in National City, CA

Active since March 27, 2025
502 EUCLID AVE STE 302, NATIONAL CITY, CA 91950(619) 330-7402(619) 330-5494 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2025, Mar 27, 2025 (2 updates tracked since 2025).

About Ta Community Medical Clinic NPPES

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

TA COMMUNITY MEDICAL CLINIC (NPI 1942003991) is a healthcare organization registered as a primary care in National City, California and active in the NPI registry since March 2025. The organization lists Shaik Saheb, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1942003991
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTA COMMUNITY MEDICAL CLINIC
Location Address502 EUCLID AVE STE 302National City, CA 91950-2995
Mailing Address4263 Tierra Rejada Rd # 188Moorpark, CA 93021-3772 · (619) 330-7402 · Fax (619) 330-5494
Fax(619) 330-5494
Organization SubpartNo
Authorized OfficialShaik SahebExecutive Director · (619) 330-7402
Enumeration DateMarch 27, 2025
Last NPPES UpdateJune 3, 20252 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1942003991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
502 EUCLID AVE STE 302, National City, CA 91950

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ta Community Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ta Community Medical Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1871533380
2810 CAMINO DEL RIO S STE 102
San Diego, CA 92108
(858) 385-1419
✔ PECOS✔ Accepts Medicare6.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ta Community Medical Clinic's NPI number?

The NPI number for Ta Community Medical Clinic is 1942003991. It was assigned to this organization in the NPPES registry on March 27, 2025.

Where is Ta Community Medical Clinic located?

Ta Community Medical Clinic is located at 502 Euclid Ave Ste 302, National City, CA 91950. The listed phone number is (619) 330-7402.

What is Ta Community Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Ta Community Medical Clinic enrolled in Medicare?

Yes. Ta Community Medical Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ta Community Medical Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Ta Community Medical Clinic. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ta Community Medical Clinic was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.