Active NPI
Nelson Acosta
- Social Worker
- Santa Ana, CA
National Provider Identifier
1417680356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 117409
- Practice address
- 405 W 5TH St Ste 658
Santa Ana, CA 92701-4599 - Phone
- (714) 935-6117
- NPI assigned
- Jul 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 117409 | CA | Primary |
Addresses
Primary practice location
405 W 5TH St Ste 658
Santa Ana, CA 92701-4599
Mailing address
405 W 5TH St Ste 211
Santa Ana, CA 92701-4522
Phone (714) 510-0230
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117409 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751760000000",
"number": "1417680356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 W 5TH ST STE 211",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014522",
"telephone_number": "714-510-0230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W 5TH ST STE 658",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014599",
"telephone_number": "714-935-6117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACOSTA",
"first_name": "NELSON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-07",
"last_updated": "2025-07-06",
"certification_date": "2025-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "117409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.