Jorge Luis Acosta Vega

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

5285 Tipper Ave
Las Vegas, NV 89122-6964

Phone

(702) 542-6017

NPI assigned

May 11, 2020

Last updated

Feb 11, 2022By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1457973638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5285 TIPPER AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891226964",
            "telephone_number": "702-542-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5285 TIPPER AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891226964",
            "telephone_number": "702-542-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA VEGA",
        "first_name": "JORGE LUIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2103531912",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Acosta Rodriguez
• Samuel Acosta Rodriguez
• Yusely Acosta Rodriguez
• Yoenis Acosta Rosales
• Kirenia Acosta Vazquez
• Anolan Acosta-Blanco
• Marina Acosta-Fowlkes
• Yanelka Acosta-Gonzalez
• Barbara Acosta-Perez, M.D.
• Alba Acosta

• Personal Care Attendant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Personal Care Attendant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.