Robert Ty Costa
Robert Ty Costa is a Case Manager/Care Coordinator provider (Case Manager/Care Coordinator) practicing in Ceres, CA, registered in the NPPES registry with NPI 1639514102 since 2013.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1639514102 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Robert Ty Costa |
| Sex | Male |
| Practice address | 1904 RICHLAND AVE, Ceres, CA, 95307 |
| Phone | 2095412121 |
| Fax | 2095412083 |
| Enumeration date | 2013-05-09 |
| Last updated in NPPES | 2019-03-12 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | Primary | D6566716 | CA |
Copy-ready billing details
Provider: Robert Costa NPI: 1639514102 Taxonomy: 171M00000X (Case Manager/Care Coordinator) Address: 1904 RICHLAND AVE, Ceres, CA, 95307
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1548187487 | Samantha Koehn | Individual | Addiction (Substance Use Disorder) Counselor | Ceres, CA |
| 1174605067 | Kenneth Richter | Individual | Psychiatry Physician | Ceres, CA |
| 1770667990 | Julia Brown | Individual | Psychiatric/Mental Health Registered Nurse | Ceres, CA |
| 1891835138 | Laura Chavez | Individual | Addiction (Substance Use Disorder) Counselor | Ceres, CA |
| 1215063177 | Philip Hoile | Individual | Clinical Psychologist | Ceres, CA |
| 1700912334 | Mary Aguirre | Individual | Case Manager/Care Coordinator | Ceres, CA |
| 1518093343 | Rachel Acosta | Individual | Marriage & Family Therapist | Ceres, CA |
| 1164559381 | Dawn Vercelli | Individual | Addiction (Substance Use Disorder) Counselor | Ceres, CA |
Verify this record
Cross-check NPI 1639514102 against the authoritative CMS record: view Robert Ty Costa on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Robert Costa?
Where does Robert Costa practice?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-03-12.