Juan Jr Avalos Aceves
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Indio, CA
NPI 1669324455 · NPPES record last updated Feb 12, 2026
Key facts
- NPI
- 1669324455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 83873 Charro Dr
Indio, CA 92203-2860 - Phone
- (760) 851-8699
- NPI assigned
- Feb 12, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | AZ | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | AZ | Yes |
Addresses
Primary practice location
83873 Charro Dr
Indio, CA 92203-2860
Mailing address
83873 Charro Dr
Indio, CA 92203-2860
Phone (760) 851-8699
Other providers in Indio, CA
- Ezabel Abuto
- Anitza Acevedo
- George Izaac Acevedo
- Gisela Acevedo
- Arminda A Aceves
- Cecil Acosta
- Christopher Fabian Acosta
- Kandy Lynn Acosta
- Selene Acosta
- Active-Lives
All providers in Indio, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.