MR. RAFAEL ACOSTA


Address: 222 W. Eulalia Suite 201, Glendale, CA 91204-2851
Phone: 8182400601

MR. RAFAEL ACOSTA (NPI# 1861712150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861712150
Entity Type Individual
Full Name MR. RAFAEL ACOSTA
Credential RAFAEL ACOSTA
Practice Address 222 W. Eulalia Suite 201
Glendale
CA 91204-2851
Mailing Address 16 Elmhurst St.
Ladera Ranch
CA 92694-0851
Practice Telephone 8182400601
Mailing Telephone 9494128013
Enumeration Date 2010-06-09
Last Update Date 2010-06-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 14942 CA Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 222 W. EULALIA SUITE 201
City GLENDALE
State CA
Zip Code 91204-2851

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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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Competitor

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City GLENDALE
Zip Code 91204

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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