Iora Senior Health, LLC
Organization Active NPI Internal Medicine Physician · Mesa, AZ
NPI 1083063036 · NPPES record last updated Oct 10, 2025
Key facts
- NPI
- 1083063036
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- IORA SENIOR HEALTH, LLC
- Practice address
- 5110 E Southern Ave Ste 105
Mesa, AZ 85206-2790 - Phone
- (888) 663-6331
- Fax
- (415) 252-7176
- NPI assigned
- Jun 10, 2016
- Organization subpart
- No
Authorized official
- Name
- Suzanne Hansen
- Title
- Director, Clinical Ops & Perf
- Phone
- (888) 663-6331
Other NPIs on the same Medicare enrollment 15
Practitioners 8
-
Jeffrey T. Dare, D.O.
-
Zachary Ortiz, M.D.
-
Amber Robers, NP
-
Yvonne Velasco, APN
-
Kariessa Taylor Welch, FNP-C
-
Mary L Froehlich, GNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2115808 | One Medical - Higley | Certificate of waiver | Feb 18, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151124001666 | AZ | Part B Supplier - Clinic/Group Practice | 0143520189 |
Receives reassigned benefits from 147 practitioners 15 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Phoenix, AZ; Queen Creek, AZ; Scottsdale, AZ; Sun City, AZ; Sun City West, AZ; Surprise, AZ; Tempe, AZ; Tucson, AZ… |
National Provider Directory
Locations
5916 E McKellips Rd
Mesa, AZ 85215
Phone (480) 930-4477
Interoperability endpoints
- https://api.prod.1life.com/fhir/4.0
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
5110 E Southern Ave Ste 105
Mesa, AZ 85206-2790
Mailing address
1 Embarcadero Ctr FL 19
San Francisco, CA 94111-3628
Phone (888) 663-6331
Other names
- One Medical
Other providers in Mesa, AZ
- International Counseling and Psychological Services LLC
- Intraoperative Monitoring Services LLC
- Intraoperative Neurology Preventative Services LLC
- Invision Medical LLC
- Iom Technologist Rem LLC
- Iora Senior Health, LLC
- Iora Senior Health, LLC
- Doris Iordache
- Louis Iorio
- Anna Tisha Abad Ira
All providers in Mesa, AZ · Internal Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.