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I. ACOSTA M.D. INC. NPI 1649474800


NPI Information

NPI: 1649474800
Provider Name: I. ACOSTA, M.D., INC.
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
1808 VERDUGO BLVD
SUITE 409
GLENDALE, CA
ZIP 91208
Phone: (818) 790-8020
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I. ACOSTA, M.D., INC. is a surgery in Glendale, CA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. I. ACOSTA, M.D., INC. NPI is 1649474800. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1808 VERDUGO BLVD
SUITE 409
GLENDALE, CA
ZIP 91208-477
Phone: (818) 790-8020
Fax: (818) 790-9313

The provider's authorized official is Ignacio Acosta .
The authorized official title is President Owner and has the following contact phone number (818) 790-8020.

The enumeration date for this NPI number is 6/12/2007 and was last updated on 5/4/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryA26640CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000767453OTHERCALIFORNIAAPWU ID
2=========OTHERCALIFORNIAHEALTHNET ID
3W21433MEDICARE PIN
400A266401MEDICAIDCALIFORNIA
5=========OTHERCALIFORNIABLUE CROSS ID
6300000306091OTHERCALIFORNIAPLAN HANDLERS ID
7B50038MEDICARE UPINCALIFORNIA
800A266400OTHERCALIFORNIABLUE SHIELD ID
9DO4784OTHERRAILROAD MEDICARE PTAN
10=========OTHERCALIFORNIAUNITED HEALTHCARE ID
110004033429OTHERCALIFORNIAAETNA ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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