NPIMap

Organization Active NPI

Prosano Health Solutions, Inc.

  • Primary Care Clinic/Center
  • Peoria, AZ
National Provider Identifier
1114702370
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PROSANO HEALTH SOLUTIONS, INC.
Practice address
9000 W Thunderbird Rd Ste 110
Peoria, AZ 85381-4451
Phone
(855) 776-7266
Fax
(602) 336-7699
NPI assigned
Aug 28, 2023
Organization subpart
Yes
Parent organization
PROSANO HEALTH SOLUTIONS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Aaron Bowen
Title
Chief Operating Officer
Phone
(480) 493-7249

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Primary Care Clinic/Center 261QP2300X Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

9000 W Thunderbird Rd Ste 110
Peoria, AZ 85381-4451

Mailing address

8220 N 23Rd Ave
Phoenix, AZ 85021-4872

Other names 1

  • Prosano Health - Peoria Other name

National Provider Directory

National Provider Directory
Tax ID family
Prosano Health Solutions Inc11 organizations share this tax ID, including this one
Part of
Prosano Health Solutions Inc

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27165/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1114702370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 N 23RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 W THUNDERBIRD RD STE 110",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814451",
            "telephone_number": "855-776-7266",
            "fax_number": "602-336-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSANO HEALTH SOLUTIONS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROSANO HEALTH SOLUTIONS, INC.",
        "enumeration_date": "2023-08-28",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "480-493-7249"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prosano Health - Peoria",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Prosano Health - Peoria",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.