Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Courtney Ta

Individual provider Physician Assistant · NPI 1821687047

Courtney Ta is a Physician Assistant in Anaheim, California. Qualified in 2020, 6 years ago. Practices with K Somanath MD Inc, an 8-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
6
In the registry since
2021
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Practice location Address checks out

3400 W Ball Rd Ste 104
Anaheim, CA 92804-3735
Phone: (949) 432-9989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1821687047
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 12, 2021
Last updated in NPPESMay 21, 2022
Certification dateMay 21, 2022
Mailing address3151 Airway Ave Ste T3, Costa Mesa, CA 92626-4627

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice K Somanath Md Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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