Individual provider Active NPI

Ricardo Emilio Dent-Acosta, M.D.

  • Internal Medicine Physician
  • Newbury Park, CA
National Provider Identifier
1821125923
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A93849 Issued in CA
Practice address
5003 Via Santana
Newbury Park, CA 91320-6983
Phone
(805) 905-5863
NPI assigned
Feb 27, 2007
Last updated
Apr 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A93849 CA Primary

Addresses

Primary practice location

5003 Via Santana
Newbury Park, CA 91320-6983

Mailing address

5003 Via Santana
Newbury Park, CA 91320-6983
Phone (805) 905-5863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A93849CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1821125923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 VIA SANTANA",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206983",
            "telephone_number": "805-905-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 VIA SANTANA",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206983",
            "telephone_number": "805-905-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENT-ACOSTA",
        "first_name": "RICARDO",
        "middle_name": "EMILIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A93849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.