Michael Thomas Acosta, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95017301 Issued in CA

Practice address

960 E Green St Ste L-11
Pasadena, CA 91106-2429

Phone

(626) 599-7600

NPI assigned

May 10, 2021

Last updated

May 28, 2021By the provider in NPPES

Sex

Male

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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1396329900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST STE L-11",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062429",
            "telephone_number": "626-599-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST STE L-11",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062429",
            "telephone_number": "626-599-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Nicole Acosta
• Elia Acosta, MS
• Francisca M Acosta
• Jacielle Jeravey Acosta, LMFT
• Jennifer Acosta
• Nicole Marie Acosta
• Acro Consultancy Services a Psychological Corporation
• Actus ABA LLC
• Diego Fernando Acuna
• Frederick Andrew Acuna

• Family Nurse Practitioner in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.