Individual provider · NPI-1

Dr. Juan M. Acosta, MD

Surgery, Pediatric Surgery · Phoenix, AZ

NPI number1467423772
StatusActive
Last updated in NPPESAug 20, 2026

Details

NPI
1467423772
Entity type
Individual (NPI-1)
Name
Dr. Juan M. Acosta
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 27, 2006
Certification date
Aug 20, 2026
Last updated
Aug 20, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0120X Surgery, Pediatric Surgery35220AZYes
207R00000X Internal MedicineA66595CA

Practice location

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Phone 602-933-1000

Mailing address

2108 E Thomas Rd
Phoenix, AZ 85016-7761

Phone 602-933-3124

Other practice locations

57370 29 Palms Hwy Ste 203
Yucca Valley, CA 92284-2900

Phone 760-398-0606

52565 Cesar Chavez St Ste 104
Coachella, CA 92236-1534

Phone 760-398-0606

45677 Oasis St
Indio, CA 92201-4564

Phone 760-398-0606

81767 Dr Carreon Blvd
Indio, CA 92201-5597

Phone 760-398-0606

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