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VIET D. TA MD & TIFFANY L. QUAN MD MEDICAL ASSOCIATES INC. NPI 1497760987


NPI Information

NPI: 1497760987
Provider Name: VIET D. TA, MD & TIFFANY L. QUAN, MD MEDICAL ASSOCIATES INC.

Doing Business As: FOOTHILL PRIMARY CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D1039826

Address:
8235 ROCHESTER AVE STE 110
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 484-4900
Get Directions

VIET D. TA, MD & TIFFANY L. QUAN, MD MEDICAL ASSOCIATES INC. is a family medicine in Rancho Cucamonga, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. VIET D. TA, MD & TIFFANY L. QUAN, MD MEDICAL ASSOCIATES INC. NPI is 1497760987. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Foothill Primary Care.

The provider's business location address is:

8235 ROCHESTER AVE STE 110
RANCHO CUCAMONGA, CA
ZIP 91730-719
Phone: (909) 484-4900
Fax: (909) 243-7868

The provider's authorized official is Viet Duy Ta .
The authorized official title is President and has the following contact phone number (909) 484-4900.

The CLIA number assigned to this NPI record is 05D1039826 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 3/9/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsA77358CALIFORNIANo
2207Q00000XFamily MedicineA69957CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ28593ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2GR0096040MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.