Mr Anh Ta, | |
2828 Ford St, Oakland, CA 94601-2114 | |
(510) 292-3585 | |
Not Available |
Full Name | Mr Anh Ta |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 2828 Ford St, Oakland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508099888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | 85506 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Grow Healthcare Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
Mailing Address | Practice Location Address |
---|---|
Mr Anh Ta, 1218 Gusty Loop, Livermore, CA 94550-2543 Ph: (510) 258-2737 | Mr Anh Ta, 2828 Ford St, Oakland, CA 94601-2114 Ph: (510) 292-3585 |
Ms. Ha Le Cao, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 255 International Blvd, Oakland, CA 94606 Phone: 510-835-2777 | |
Antonia K Fokken, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 568 W Grand Ave, Oakland, CA 94612 Phone: 510-268-7332 Fax: 510-451-4703 | |
Mr. Timothy Clyde Dreby, MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1211 Embarcadero, Suite 300, Oakland, CA 94606 Phone: 510-535-1409 Fax: 510-535-1414 | |
Mrs. Sara Louise Mckinnon, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2540 Charleston St, Oakland, CA 94602 Phone: 510-220-2548 | |
Lauren Aiken, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6117 Martin Luther King Jr Way, Oakland, CA 94609 Phone: 510-655-4896 | |
Nicolette Nguyen, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2501 Harrison St, Oakland, CA 94612 Phone: 510-444-3344 | |
Janessa Lynette Jimenez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 55 Santa Clara Ave Ste 200, Oakland, CA 94610 Phone: 707-408-2255 |