Monique Rochelle Acosta, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95028617 Issued in CA

Practice address

4750 Lincoln Blvd Apt 457
Marina del Rey, CA 90292-9306

Phone

(323) 877-3115

NPI assigned

Jan 15, 2024

Last updated

Jan 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ehab Yacoub MD Inc.

  dba Brain Health USA

  • Child & Adolescent Psychiatry Physician
  • Gardena, CA
  • NPI 1417373713
  Medicare reassignment NPD
• Neuro Wellness Spa, a Medical PC

  dba Neuro Wellness Spa

  • Psychiatry Physician
  • Manhattan Beach, CA
  • NPI 1003394149

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1487425872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 LINCOLN BLVD APT 457",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902929306",
            "telephone_number": "323-877-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 LINCOLN BLVD APT 457",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902929306",
            "telephone_number": "323-877-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "MONIQUE",
        "middle_name": "ROCHELLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95028617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A. Buckins D.D.S., Inc. (White Haus Dental & Aesthetics)
• Samar Abbasher
• Sandy Abdou
• Anna Grayce Abel, RDN
• Shahram Shawn Abrishamy, M.D.
• Acupuncture Westside Inc (Acupuncture Westside)
• Prabidhi Adhikari, D.D.S.
• Admiralty Surgery Center, Inc
• Advance Dermatology & Laser Medical Center Inc.
• Shirin Aghazadeh, DO

• Psychiatric/Mental Health Nurse Practitioner in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.