Organization Active NPI

Acosta Chiropractic, Inc.

  • Chiropractor
  • Riverside, CA
National Provider Identifier
1376783399
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30073 Issued in CA
Legal business name
ACOSTA CHIROPRACTIC, INC.
Practice address
11498 Pierce St
Ste #B
Riverside, CA 92505-3357
Phone
(951) 354-6294
Fax
(951) 354-6295
NPI assigned
Mar 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Authorized official

Name
Dr. Rey David Acosta, D.C.
Title
Owner
Phone
(951) 354-6294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC30073 CA Primary

Addresses

Primary practice location

11498 Pierce St
Ste #B
Riverside, CA 92505-3357

Mailing address

11498 Pierce St
Ste #B
Riverside, CA 92505-3357
Phone (951) 354-6294

Other identifiers 1

IdentifierTypeStateIssuer
DC30073OtherCASTATE LICENSE

National Provider Directory

National Provider Directory

Locations

11498 Pierce St
Ste B
Riverside, CA 92505
Phone (951) 354-6294

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1376783399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11498 PIERCE ST",
            "address_2": "STE #B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053357",
            "telephone_number": "951-354-6294",
            "fax_number": "951-354-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11498 PIERCE ST",
            "address_2": "STE #B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053357",
            "telephone_number": "951-354-6294",
            "fax_number": "951-354-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACOSTA CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "REY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-354-6294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DC30073",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.