Landri Acosta, SOIDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

5075 Tranquil Way # 102
Oceanside, CA 92057-7870

Phone

(407) 927-4848

NPI assigned

Oct 29, 2020

Last updated

Oct 29, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1316547227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5075 TRANQUIL WAY # 102",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920577870",
            "telephone_number": "407-927-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5075 TRANQUIL WAY # 102",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920577870",
            "telephone_number": "407-927-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "LANDRI",
        "credential": "SOIDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "landi.acosta@usmc.mil",
            "affiliation": "N",
            "endpointDescription": "DOD",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "DOD",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "DOD",
            "address_1": "5075 Tranquil Way # 102",
            "city": "Oceanside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920577870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Betsy Abraham, PHARMD
• Sandra Ann Abril, LVN
• Gian-Trisha Esperanza Abueg
• Aremae Acal
• Christopher Marc Ackerman, D.P.T., P.C.S.
• Yadira Acosta, PH.D.
• Debal Acquaro
• Activhealing Treatment Center, a Marriage and Family Therapy Corporation
• Adam Rosa OD Inc
• Adam S. Fierer MD, Inc.

• Independent Duty Corpsman in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Independent Duty Corpsman in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.