Active NPI
Jose Jeral Acosta, RPA
- Radiology Practitioner Assistant
- Mesa, AZ
National Provider Identifier
1376721076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Practitioner Assistant
- Practice address
- 6644 E Baywood Ave
Mesa, AZ 85206-1797 - Phone
- (480) 321-2000
- NPI assigned
- Feb 5, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | |||
| Radiology Practitioner Assistant | 243U00000X | Primary |
Addresses
Primary practice location
6644 E Baywood Ave
Mesa, AZ 85206-1797
Mailing address
1500 S Main St
Radiology Dept
Fort Worth, TX 76104-4917
Phone (817) 927-1062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1376721076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S MAIN ST",
"address_2": "RADIOLOGY DEPT",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044917",
"telephone_number": "817-927-1062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6644 E BAYWOOD AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852061797",
"telephone_number": "480-321-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACOSTA",
"first_name": "JOSE",
"middle_name": "JERAL",
"credential": "RPA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-05",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "243U00000X",
"taxonomy_group": "",
"desc": "Radiology Practitioner Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.