Healthcare Provider Details

I. General information

NPI: 1578437760
Provider Name (Legal Business Name): JOSEPH ACORDA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20211 PATIO DR STE 205
CASTRO VALLEY CA
94546-4338
US

IV. Provider business mailing address

24908 MOHR DR
HAYWARD CA
94545-2376
US

V. Phone/Fax

Practice location:
  • Phone: 510-954-0390
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number54323
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: