Individual provider Active NPI

Antonieta Silvia Acosta, PA-C

  • Physician Assistant
  • Clovis, CA
National Provider Identifier
1023399698
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA21740 Issued in CA
Practice address
255 W Herndon Ave Ste 102
Clovis, CA 93612-0381
Phone
(559) 550-6226
Fax
(559) 550-6262
NPI assigned
Sep 8, 2011
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA21740 CA Primary

Addresses

Primary practice location

255 W Herndon Ave Ste 102
Clovis, CA 93612-0381

Mailing address

362 N Clovis Ave Ste 102
Clovis, CA 93612-0300
Phone (559) 327-2817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120517000470 CA Practitioner - Physician Assistant 2668635244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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

Practice addresses (Care Compare)

255 W Herndon Ave
Suite 102
Clovis, CA 93612-0381
Phone (559) 550-6226

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
78.62
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA21740CAMDPhysician Assistant
21740CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Micare California PC CurrentSince Aug 28, 2022 Accepting new patients
Community Health Partners CurrentSince Oct 24, 2022 Accepting new patients

Locations

245 W Herndon Ave
Clovis, CA 93612
Phone (559) 299-1178

255 W Herndon Ave
Ste 102
Clovis, CA 93612
Phone (559) 325-8437

362 N Clovis Ave
Ste 102
Clovis, CA 93612
Phone (559) 327-2873

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1023399698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 N CLOVIS AVE STE 102",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120300",
            "telephone_number": "559-327-2817",
            "fax_number": "877-301-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W HERNDON AVE STE 102",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120381",
            "telephone_number": "559-550-6226",
            "fax_number": "559-550-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "ANTONIETA",
        "middle_name": "SILVIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.