Acosta Medical Group, Inc.
NPI 1639357114 · Specialist · Glendale, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Acosta Medical Group, Inc. is a Specialist organization in Glendale, CA (NPI 1639357114).
Provider details
- NPI number
- 1639357114
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Malena Wilson, Administrator(818) 240-0601
- License
- G72214 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-02-06
- Last updated
- 2009-08-13
Frequently asked questions
- What is Acosta Medical Group, Inc.'s NPI number?
- Acosta Medical Group, Inc.'s National Provider Identifier (NPI) is 1639357114, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Acosta Medical Group, Inc.?
- Acosta Medical Group, Inc. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Acosta Medical Group, Inc. located?
- Acosta Medical Group, Inc.'s practice location on file with NPPES is 222 W Eulalia St, Glendale, CA 91204-2849.
- What is Acosta Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Acosta Medical Group, Inc. is (818) 240-0601.
- Does Acosta Medical Group, Inc. accept Medicare?
- Acosta Medical Group, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Acosta Medical Group, Inc.?
- The authorized official listed on Acosta Medical Group, Inc.'s NPPES record is Malena Wilson, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Acosta Medical Group, Inc.'s NPI active?
- Yes — Acosta Medical Group, Inc.'s NPI (1639357114) is active in the NPPES registry as of the last update on 2009-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.