Active NPI
Raul Acosta
- Peer Specialist
- Rancho Cucamonga, CA
National Provider Identifier
1033456207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- MPSS-CEGBPF
- Practice address
- 9500 Haven Ave
Suite 100
Rancho Cucamonga, CA 91730-5807 - Phone
- (909) 980-6700
- NPI assigned
- Jan 8, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MPSS-CEGBPF | CA | Primary |
Addresses
Primary practice location
9500 Haven Ave
Suite 100
Rancho Cucamonga, CA 91730-5807
Mailing address
25910 Acero Ste 160
Mission Viejo, CA 92691-2777
Phone (909) 980-6700
Other names 1
- Rudy Acosta
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MPSS-CEGBPF | CA | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1033456207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25910 ACERO STE 160",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926912777",
"telephone_number": "909-980-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 HAVEN AVE",
"address_2": "SUITE 100",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917305807",
"telephone_number": "909-980-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACOSTA",
"first_name": "RAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-08",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-CEGBPF",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RUDY",
"last_name": "ACOSTA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.