Active NPI
Juan M. Acosta, MD
- Pediatric Surgery Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 35220
- Practice address
- 1919 E Thomas Rd
Phoenix, AZ 85016-7710 - Phone
- (602) 933-1000
- NPI assigned
- Jan 27, 2006
- Last updated
- Aug 20, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | 35220 | AZ | Primary |
| Internal Medicine Physician | 207R00000X | A66595 | CA |
Addresses
Primary practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Mailing address
2108 E Thomas Rd
Phoenix, AZ 85016-7761
Phone (602) 933-3124
Other practice location 1
81767 Dr Carreon Blvd
Indio, CA 92201-5597
Phone (760) 398-0606
Other practice location 2
52565 Cesar Chavez St Ste 104
Coachella, CA 92236-1534
Phone (760) 398-0606
Other practice location 3
57370 29 Palms Hwy Ste 203
Yucca Valley, CA 92284-2900
Phone (760) 398-0606
Other practice location 4
45677 Oasis St
Indio, CA 92201-4564
Phone (760) 398-0606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 078584 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of California, Davis School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
57370 29 Palms Hwy
Suite 203
Yucca Valley, CA 92284-2900
Phone (760) 399-0069
81709 Dr Carreon Blvd
Suite C5
Indio, CA 92201-5577
Phone (760) 398-0606
8990 Sierra Ave
Suite Jandk
Fontana, CA 92335-4767
Phone (909) 421-4886
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 451 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35220 | AZ | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior's Choice Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| Stellar Family Medical Clinic LLC | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Guillermo J Gomez MD Inc | Family Medicine | Current | Accepting new patients |
| Phoenix Children's Medical Group | Current | Accepting new patients | |
| Phoenix Children's Medical Group | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Clinica Medica del Valle, Inc. | Pediatric Surgery | Current | Accepting new patients |
| Phoenix Children's Hospital | Current | Accepting new patients | |
| Yucca Valley Medical Clinic | Pediatric Surgery | Current | Accepting new patients |
| Howard P. Levy D.O., Inc | Family Medicine | Past | Accepting new patients |
| Stephen B. Lee Medical Corporation at Coachella | Family Medicine | Past | Accepting new patients |
| Phoenix Children's Hospital | Past | Accepting new patients |
Locations
19007 N 67th Ave
Glendale, AZ 85308
Phone (602) 933-1784
20325 N 51st Ave
Ste 116
Glendale, AZ 85308
Phone (602) 933-1010
5131 E Southern Ave
Mesa, AZ 85206
Phone (480) 833-5437
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
1920 E Cambridge Ave
Ste 201
Phoenix, AZ 85006
Phone (602) 254-5561
2108 E Thomas Rd
Phoenix, AZ 85016
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
3201 W Peoria Ave
Ste A100
Phoenix, AZ 85029
Phone (480) 256-1625
52565 Harrison St
Ste 104
Coachella, CA 92236
Phone (760) 398-0606
8990 Sierra Ave
Ste Jk
Fontana, CA 92335
Phone (909) 421-4886
45677 Oasis St
Indio, CA 92201
Phone (760) 398-0606
57370 29 Palms Hwy
Ste 203
Yucca Valley, CA 92284
Phone (760) 369-0069
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- jacosta279831@direct.valleywisehealth.org
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Surgery Physician
- Coachella, CA
- NPI 1790921641
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
dba Phoenix Children's Medical Group
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
-
- Family Nurse Practitioner
- Surprise, AZ
- NPI 1285408161
-
- Family Medicine Physician
- Fontana, CA
- NPI 1023506672
-
- Pediatric Surgery Physician
- Yucca Valley, CA
- NPI 1952186322
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Pediatrics Physician
- Phoenix, AZ
- NPI 1790018802
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
-
- Multi-Specialty Clinic/Center
- Glendale, AZ
- NPI 1679703441
-
- Family Medicine Physician
- Riverside, CA
- NPI 1346474723
-
- Children's Hospital
- Phoenix, AZ
- NPI 1760480503
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hi-Desert Medical Center
- General Acute Care Hospital
- Joshua Tree, CA
- NPI 1851787295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1467423772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167761",
"telephone_number": "602-933-3124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167710",
"telephone_number": "602-933-1000"
}
],
"practiceLocations": [
{
"address_1": "81767 Dr Carreon Blvd",
"address_purpose": "LOCATION",
"city": "Indio",
"state": "CA",
"postal_code": "922015597",
"country_code": "US",
"telephone_number": "760-398-0606",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "52565 Cesar Chavez St Ste 104",
"address_purpose": "LOCATION",
"city": "Coachella",
"state": "CA",
"postal_code": "922361534",
"country_code": "US",
"telephone_number": "760-398-0606",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "57370 29 Palms Hwy Ste 203",
"address_purpose": "LOCATION",
"city": "Yucca Valley",
"state": "CA",
"postal_code": "922842900",
"country_code": "US",
"telephone_number": "760-398-0606",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "45677 Oasis St",
"address_purpose": "LOCATION",
"city": "Indio",
"state": "CA",
"postal_code": "922014564",
"country_code": "US",
"telephone_number": "760-398-0606",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ACOSTA",
"first_name": "JUAN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "AZ",
"license": "35220",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A66595",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "078584",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.