Individual provider Active NPI

Juan M. Acosta, MD

  • Pediatric Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1467423772
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
35220 Issued in AZ
Practice address
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone
(602) 933-1000
NPI assigned
Jan 27, 2006
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
078584MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060711000006 AZ Practitioner - General SurgeryPractitioner - Pediatric Medicine 7517970734 Reassigns benefits to 2 organizations
I20240311003295 CA Practitioner - Family Practice 7517970734 Reassigns benefits to 4 organizations

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

ProcedureNumber of procedures
Colonoscopy451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35220AZMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Senior's Choice Medical Group, Inc. Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
District Medical Group, Inc CurrentSince Dec 15, 2024 Accepting new patients
Stellar Family Medical Clinic LLC CurrentSince Nov 19, 2023 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Guillermo J Gomez MD Inc Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Phoenix Children's Medical Group CurrentSince Nov 17, 2024 Accepting new patients
Phoenix Children's Medical Group CurrentSince Nov 17, 2024 Accepting new patients
District Medical Group, Inc CurrentSince Dec 15, 2024 Accepting new patients
Clinica Medica del Valle, Inc. Pediatric Surgery CurrentSince Aug 24, 2023 Accepting new patients
Phoenix Children's Hospital CurrentSince Mar 30, 2025 Accepting new patients
Yucca Valley Medical Clinic Pediatric Surgery CurrentSince Nov 20, 2023 Accepting new patients
Howard P. Levy D.O., Inc Family Medicine Past Accepting new patients
Stephen B. Lee Medical Corporation at Coachella Family Medicine PastSince Aug 1, 2023 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.