Ileana Acosta

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF90654 Issued in CA

Practice address

160 E Holt Ave
B
Pomona, CA 91767-5406

Phone

(909) 620-2521

NPI assigned

Aug 7, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1255740924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14191 WOODLAND DR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923372793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E HOLT AVE",
            "address_2": "B",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675406",
            "telephone_number": "909-620-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "ILEANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF90654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Acevedo
• Casandra Aceves
• Naomi Jaye Achondo, OTD, OTR/L, SWC
• Elizabeth Gabrielle Acker
• David Acosta, AII051530218
• Jacquelyn Acosta
• Shawna Marie Acosta
• Isela Acuna-Rosas
• Camille Joyce Acuna, FNP-C
• Nyssa Adackapara, MD

• All providers in Pomona, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.