Joanna Acosta
Individual provider Active NPI Physician Assistant · Covina, CA
NPI 1437620283 · NPPES record last updated May 14, 2019
Key facts
- NPI
- 1437620283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 236 W College St
Covina, CA 91723-1902 - Phone
- (626) 608-7320
- NPI assigned
- Dec 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Foothills Pain Management Clinic PC
Practice addresses (Care Compare)
236 W College St
Covina, CA 91723-1902
Phone (626) 608-7320
2895 N Towne Ave
Pomona, CA 91767-2009
Phone (909) 764-6480
767 S Sunset Ave
Suite 3
West Covina, CA 91790-3546
Phone (626) 608-7320
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.8 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 65.98
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190711002635 | CA | Practitioner - Physician Assistant | 6406181528 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emanate Pain Management Medical Group PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
236 W College St
Covina, CA 91723-1902
Mailing address
236 W College St
Covina, CA 91723-1902
Phone (626) 608-7320
Other providers in Covina, CA
- Valerie Ann Aceves
- Ashley Acosta
- Emily Acosta
- Isabella Maria Acosta
- Janet Acosta
- Alexis Yadir Acuna
- Eveina Rose Adams
- Gloria Adams
- Jaydin Tianah Adams
- Natalie Marie Adams
All providers in Covina, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.