NPIMap

Organization Active NPI

Adelante Healthcare, Inc

Doing business as Adelante Healthcare-Roosevelt

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
National Provider Identifier
1215734124
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ADELANTE HEALTHCARE, INC
Doing business as
Adelante Healthcare-Roosevelt
Practice address
3130 E Roosevelt St BLDG C
Phoenix, AZ 85008-5036
Phone
(480) 964-2273
NPI assigned
Feb 27, 2025
Last updated
Oct 7, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ADELANTE HEALTHCARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Pedro Cons
Title
Ceo
Phone
(623) 583-3001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

3130 E Roosevelt St BLDG C
Phoenix, AZ 85008-5036

Mailing address

3033 N Central Ave Ste 145
Phoenix, AZ 85012-2808
Phone (623) 583-3001

Other names 1

  • Adelante Healthcare-Roosevelt Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031114000335 AZ Part B Supplier - Clinic/Group Practice 4688588643 Receives reassigned benefits from 250 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gila Bend, AZ; Wickenburg, AZ; Surprise, AZ; Phoenix, AZ; Peoria, AZ; Mesa, AZ; Goodyear, AZ; Buckeye, AZ
O20250813003884 AZ Part B Supplier - Clinic/Group Practice 4688588643 Practice locations: Phoenix, AZ

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2333164Adelante Healthcare Roosevelt3130 E Roosevelt St, Phoenix, AZ 85008Certificate of waiverOct 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Gila Bend Primary Care23 organizations share this tax ID, including this one
Part of
Gila Bend Primary Care

Other organizations with this tax ID 22

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

View all 22

Locations

3400 N Dysart Rd
Ste 121
Avondale, AZ 85392

3400 N Dysart Rd
Ste F121
Avondale, AZ 85392
Phone (623) 792-8397

2740 S Alma School Rd
Mesa, AZ 85210
Phone (480) 491-6235

16560 N Dysart Rd
Surprise, AZ 85378
Phone (602) 386-4814

466 W Wickenburg Way
Wickenburg, AZ 85390
Phone (520) 684-1555

811 N Tegner St
Wickenburg, AZ 85390
Phone (928) 684-9555

Practitioners & affiliated clinicians

Practitioners 261

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.

View all 261

NPI Registry JSON

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1215734124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 N CENTRAL AVE STE 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122808",
            "telephone_number": "623-583-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 E ROOSEVELT ST BLDG C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850085036",
            "telephone_number": "480-964-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADELANTE HEALTHCARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADELANTE HEALTHCARE, INC",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "CONS",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-583-3001"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adelante Healthcare-Roosevelt",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.