Antonieta Silvia Acosta, PA-C
Individual provider Active NPI Physician Assistant · Clovis, CA
NPI 1023399698 · NPPES record last updated Jun 21, 2022
Key facts
- NPI
- 1023399698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA21740 (CA)
- Practice address
- 362 N Clovis Ave Ste 102
Clovis, CA 93612-0524 - Phone
- (559) 327-2873
- Fax
- (877) 301-1920
- NPI assigned
- Sep 8, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of California, Davis School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Trumedical Care a Physician Assistant Healthcare Partner Corpo
Practice addresses (Care Compare)
255 W Herndon Ave
Suite 102
Clovis, CA 93612-0381
Phone (559) 550-6226
Hospital & facility affiliations
- Clovis Community Medical Center
- Community Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.04 of 100
- Quality
- 78.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.31
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120517000470 | CA | Practitioner - Physician Assistant | 2668635244 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA21740 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Micare California PC | Current |
Accepting new patients | |
| Community Health Partners | Current |
Accepting new patients |
Locations
362 N Clovis Ave
Ste 102
Clovis, CA 93612
Phone (559) 327-2873
245 W Herndon Ave
Clovis, CA 93612
Phone (559) 299-1178
255 W Herndon Ave
Ste 102
Clovis, CA 93612
Phone (559) 325-8437
805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA21740 | CA | Yes |
Addresses
Primary practice location
362 N Clovis Ave Ste 102
Clovis, CA 93612-0524
Mailing address
362 N Clovis Ave Ste 102
Clovis, CA 93612-0300
Phone (559) 327-2817
Other providers in Clovis, CA
- Primitivo Abapo
- Abdul Majeed Abid
- Aboonda LLC
- Ryan James Abundo
- Fauna Ashley Acker
- Jose Acosta
- Acute Therapeutics and Supplies
- Adam Rajoulh M.D.
- Adam Rajoulh MD Corp
- Adam Rajoulh MD Inc
All providers in Clovis, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 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.