Raoul Acosta
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Perris, CA
NPI 1336010644 · NPPES record last updated Oct 24, 2025
Key facts
- NPI
- 1336010644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 555 N Perris Blvd
Perris, CA 92571-2811 - Phone
- (951) 436-5300
- NPI assigned
- Sep 17, 2025
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
555 N Perris Blvd
Perris, CA 92571-2811
Mailing address
555 N Perris Blvd
Perris, CA 92571-2811
Phone (951) 436-5300
Other providers in Perris, CA
- 911 Medical Supply Inc.
- Ab Concrete Inc.
- Lorne Abby Jr.
- Abraham Isaac Acklin
- Mercie Vanessa Acosta
- Susana Acosta
- Dominique Adams
- Belinda Addo
- Laura Agredano
- Pablo Julian Agrio Sr.
All providers in Perris, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2025. 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.