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ACOSTA MEDICAL GROUP, INC.
NPI 1639357114
Specialist in Glendale, CA

Active since February 06, 2008
222 W EULALIA ST, STE. 201, GLENDALE, CA 91204(818) 240-0601(818) 240-0687 Get Directions Write a Review

NPPES record last updated: August 13, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Acosta Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACOSTA MEDICAL GROUP, INC. (NPI 1639357114) is a healthcare organization registered as a specialist in Glendale, California and active in the NPI registry since February 2008. The organization lists Malena A Wilson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1639357114
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameACOSTA MEDICAL GROUP, INC.
Location Address222 W EULALIA ST, STE. 201Glendale, CA 91204-2849
Mailing Address222 W Eulalia St, Ste. 201Glendale, CA 91204-2849 · (818) 240-0601 · Fax (818) 240-0687
Phone(818) 240-0601
Fax(818) 240-0687
Organization SubpartNo
Authorized OfficialMalena A WilsonAdministrator · (818) 240-0601
Enumeration DateFebruary 6, 2008
Last NPPES UpdateAugust 13, 2009
✔ NPI 1639357114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G72214
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
222 W EULALIA ST, Glendale, CA 91204
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Other Identifiers 2

Medicare UPINF11140CA
Medicare PING72214CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Acosta Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Acosta Medical Group, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Luis Acosta, M.D.
Family Practice
NPI 1548220551
222 W EULALIA ST
Glendale, CA 91204
(818) 240-0601
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Acosta Medical Group, Inc.'s NPI number?

The NPI number for Acosta Medical Group, Inc. is 1639357114. It was assigned to this organization in the NPPES registry on February 6, 2008.

Where is Acosta Medical Group, Inc. located?

Acosta Medical Group, Inc. is located at 222 W Eulalia St Ste. 201, Glendale, CA 91204. The listed phone number is (818) 240-0601.

What is Acosta Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Acosta Medical Group, Inc. enrolled in Medicare?

Yes. Acosta Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Acosta Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Acosta Medical Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Acosta Medical Group, Inc. was last updated on August 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.