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

Minhtri Ta, MD

Individual provider Diagnostic Radiology Physician · NPI 1063114692

Minhtri Ta, MD is a Diagnostic Radiology Physician in Riverside, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4445 Magnolia Ave
Riverside, CA 92501-4199
Phone: (951) 788-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 12979 (CA)

Record details

NPI number1063114692
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2023
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024
Mailing address4445 Magnolia Ave, Riverside, CA 92501-4199

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