NPIMap

Organization Active NPI

Vistancia Health Club PLLC

  • Family Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1134066590
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
VISTANCIA HEALTH CLUB PLLC
Practice address
29751 N El Mirage Rd Unit 105
Peoria, AZ 85383-6803
Phone
(602) 826-2919
NPI assigned
May 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Kaleb Ross Martorana, FNPNPI 1235023250
Title
Family Nurse Practitioner
Phone
(602) 826-2919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

29751 N El Mirage Rd Unit 105
Peoria, AZ 85383-6803

Mailing address

29751 N El Mirage Rd Unit 105 PMB 1028
Peoria, AZ 85383-2499
Phone (602) 826-2919

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1134066590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29751 N EL MIRAGE RD UNIT 105 PMB 1028",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832499",
            "telephone_number": "602-826-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29751 N EL MIRAGE RD UNIT 105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853836803",
            "telephone_number": "602-826-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTANCIA HEALTH CLUB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-02",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "MARTORANA",
        "authorized_official_first_name": "KALEB",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "602-826-2919",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "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 May 28, 2026; 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.