Active NPI
Alejandro Jose Peralta Ortega, FNP-C
- Family Nurse Practitioner
- Peoria, AZ
National Provider Identifier
1114840733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 219074
- Practice address
- 13760 N 93Rd Ave Ste 101
Peoria, AZ 85381-4203 - Phone
- (623) 547-2600
- Fax
- (623) 547-1899
- NPI assigned
- Jul 31, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 219074 | AZ | Primary |
Addresses
Primary practice location
13760 N 93Rd Ave Ste 101
Peoria, AZ 85381-4203
Mailing address
3260 N Hayden Rd Ste 112
Scottsdale, AZ 85251-6650
Phone (602) 264-9100
Other practice location 1
14044 W Camelback Rd Ste 118
Litchfield Park, AZ 85340-9481
Phone (623) 547-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1114840733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3260 N HAYDEN RD STE 112",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516650",
"telephone_number": "602-264-9100",
"fax_number": "602-264-9101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13760 N 93RD AVE STE 101",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814203",
"telephone_number": "623-547-2600",
"fax_number": "623-547-1899"
}
],
"practiceLocations": [
{
"address_1": "14044 W Camelback Rd Ste 118",
"address_purpose": "LOCATION",
"city": "Litchfield Park",
"state": "AZ",
"postal_code": "853409481",
"country_code": "US",
"telephone_number": "623-547-2600",
"fax_number": "623-547-1899",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERALTA ORTEGA",
"first_name": "ALEJANDRO",
"middle_name": "JOSE",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-07-31",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "219074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.