Jaime Acosta Berrios
Individual provider Active NPI Family Medicine Physician · Santa Maria, CA
NPI 1003347808 · NPPES record last updated Dec 20, 2022
Key facts
- NPI
- 1003347808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A166142 (CA)
- Practice address
- 1745 N Broadway Ste 101
Santa Maria, CA 93454-1940 - Phone
- (805) 739-3890
- Fax
- (805) 347-7697
- NPI assigned
- Mar 23, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Adventist Health Physicians Network
Practice addresses (Care Compare)
1154 E Grand Ave
Arroyo Grande, CA 93420-2583
Phone (805) 395-3277
1524 W Lacey Blvd
Suite 101
Hanford, CA 93230-5990
Phone (559) 583-4695
Hospital & facility affiliations
- Central Coast Home Health Inc
- Dignity Health Home Health
- Marian Regional Medical Center
- French Hospital Medical Center
- Adventist Health Sierra Vista
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200928002958 | CA | Practitioner - Family Practice | 6507285392 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A166142 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Physicians Network | Current |
Accepting new patients | |
| Adventist Health Physicians Network | Current |
Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Pacific Central Coast Health Centers | Past | Accepting new patients | |
| Adventist Health Physicians Network | Family Medicine | Past | Accepting new patients |
Locations
1154 E Grand Ave
Arroyo Grande, CA 93420
Phone (805) 395-3277
1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695
892 Aerovista Pl
Ste 130
San Luis Obispo, CA 93401
Phone (805) 395-3277
Interoperability endpoints
- jaime.acosta.berrios.1@31068.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A166142 | CA | Yes |
Addresses
Primary practice location
1745 N Broadway Ste 101
Santa Maria, CA 93454-1940
Mailing address
1745 N Broadway Ste 101
Santa Maria, CA 93454-1940
Phone (805) 739-3890
Other providers in Santa Maria, CA
- Irene Mary Abuan
- Abundant Life Medical Clinic
- Carolina Abundes
- Access Medical, Inc.
- Achilles Prosthetics and Orthotics, Inc
- Active Physical Therapy, Inc
- Acupuncture Center of Santa Maria
- Acupuncture Family & Herbs Inc
- Ada E Gonzales , LCSW Inc
- Katya Adachi Serrano
All providers in Santa Maria, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.