Andrea Acosta
Individual provider Active NPI Licensed Vocational Nurse · Santa Ana, CA
NPI 1215635909 · NPPES record last updated Feb 21, 2023
Key facts
- NPI
- 1215635909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 700359 (CA)
- Practice address
- 1207 E Fruit St
Santa Ana, CA 92701-4206 - Phone
- (714) 953-9373
- NPI assigned
- Feb 21, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 700359 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 700359 | CA | Yes |
Addresses
Primary practice location
1207 E Fruit St
Santa Ana, CA 92701-4206
Mailing address
1714 Westwood PL
Pomona, CA 91768-1543
Other providers in Santa Ana, CA
- Achievement Wellness and Acupuncture Inc
- Briana Achmad
- Acoba Chiropractic Group, Apc
- Melinda Acosta Black
- Alisa Marie Acosta
- Ariana Acosta
- Coral Acosta
- Liliana Acosta
- Magdalena Acosta
- Manuel Jonathon Acosta
All providers in Santa Ana, CA · Licensed Vocational Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.