LESSA ILEANA ACOSTA (NPI# 1275003543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275003543 |
Entity Type | Individual |
Full Name | LESSA ILEANA ACOSTA |
Practice Address |
30500 Arrastre Canyon Rd. Acton CA 93510 |
Mailing Address |
30500 Arrastre Canyon Rd Acton CA 93510-2160 |
Practice Telephone | 6612238751 |
Practice Fax Number | 6612690427 |
Mailing Telephone | 6612238751 |
Mailing Fax Number | 6612690427 |
Enumeration Date | 2018-11-29 |
Last Update Date | 2018-11-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | 190001AN | CA | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | ANTELOPE VALLEY REHABILITATION CENTERS RESIDENTIAL | 1316397938 | 01 |
Street Address |
30500 ARRASTRE CANYON RD. |
City | ACTON |
State | CA |
Zip Code | 93510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649792219 | Jean Ella Fish | Registered Nurse | 30500 Arrestre Canyon Rd, Po Box 25, Acton, CA 93510 | 2017-07-14 |
1194118836 | Debbie Welch | Nurse Practitioner | 2310 West Ave Y8, Acton, CA 93510 | 2015-03-05 |
1831465673 | Salvatore Phillip Tarantino | Pharmacist | 3720 West Sierra Highway Unit G, Acton, CA 93510 | 2012-03-27 |
1134320534 | Phillip Vincent Pinto | Chiropractor | 3630 Banson St, Acton, CA 93510 | 2007-05-31 |
1659403269 | Marshawn Rodgers | Counselor | 30500 Arrastre Canyon Rd, Acton, CA 93510 | 2007-03-09 |
1598825564 | Palmerrx Inc | Pharmacy | 3630 Smith Ave, Acton, CA 93510 | 2006-12-11 |
1326149899 | Vanessa Naumann Johnson | Chiropractor | 3942 West Sierra Hwy, Suite 6, Acton, CA 93510 | 2006-09-26 |
1538136007 | Marian C Yeargin | Acupuncturist | 33315 Santiago Rd, Acton, CA 93510 | 2006-03-03 |
1518453257 | Chantell Smeisser | Counselor | 30500 Arrastre Canyon Rd, Acton, CA 93510 | 2018-07-05 |
1790744985 | Teri A Rogers | Massage Therapist | 33315 Santiago Rd, Acton, CA 93510 | 2006-03-17 |
Find all providers in zip 93510 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538799978 | Cheryl Riven | Substance Abuse Rehabilitation Facility | 30500 Arrastre Canyon Rd, Acton, CA 93510-2160 | 2020-01-24 |
1174168199 | Antelope Valley Rehabilitation Center | Substance Abuse Rehabilitation Facility | 30500 Arrastre Canyon Rd, Acton, CA 93510-2160 | 2019-11-13 |
1316397938 | Antelope Valley Rehabilitation Centers Residential | Substance Abuse Rehabilitation Facility | 30500 Arrastre Canyon Rd, Acton, CA 93510-2160 | 2016-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801497359 | California Care Detox & Treatment | Substance Abuse Rehabilitation Facility | 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 | 2020-11-02 |
1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.