Jesus Mauricio Acero, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9645 Issued in AZ

Practice address

4338 W Thomas Rd # 116
Phoenix, AZ 85031-3878

Phone

(623) 385-7900

NPI assigned

Nov 20, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Healthy Life Corporation

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1548510365
  NPD (past)
• Healthy Life

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1831365295
  NPD (past)

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

{
    "created_epoch": "1637366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1104583582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 PARK WIND DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774504643",
            "telephone_number": "409-419-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4338 W THOMAS RD # 116",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850313878",
            "telephone_number": "623-385-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACERO",
        "first_name": "JESUS",
        "middle_name": "MAURICIO",
        "name_prefix": "Dr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-20",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "9645",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "1141",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ace Anesthesia LLC
• Ace Chiropractic PHX PLLC
• Ace Dental Care
• Ace MD Healthcare LLC (Ace MD Hospice Care)
• Ace Physical Therapy LLC (Ace Physical Therapy)
• Aces 2020, LLC
• Aces 2020, LLC
• Aces 2020, LLC
• Aces 2020, LLC
• Monica Acevedo Molina, PHD

• Medical Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.