Adelante Healthcare, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Phoenix, AZ
NPI 1215734124 · NPPES record last updated Oct 7, 2025
Key facts
- NPI
- 1215734124
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- ADELANTE HEALTHCARE, INC
- Practice address
- 3130 E Roosevelt St BLDG C
Phoenix, AZ 85008-5036 - Phone
- (480) 964-2273
- NPI assigned
- Feb 27, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- ADELANTE HEALTHCARE, INC
Authorized official
- Name
- Pedro Cons
- Title
- Ceo
- Phone
- (623) 583-3001
Other NPIs on the same Medicare enrollment 13
Other NPIs with the same Medicare PAC ID 13
Corporate family (same tax ID) 22
Practitioners 271
-
Eugene Adel, M.D.
-
Adrienne Adkins-Provost, MSN, FNP-BC
-
Enyonam Agamasu, M.D.
-
Gaurav Aggarwal, M.D.
-
Angelica Alcala, MSN, FNP-C
-
Shireen Kay Allen-Lawson, DNP, FNP-C
-
A. Yvette Alvarez-Rooney, LPC, LISAC
-
Melissa Anderson, LCSW
-
Holly Armstrong, LCSW
-
Melody Attipoe, MSN, APRN, FNP-C
-
Maria E. Avilez, MD
-
Kareem Bannis, M.D.
-
Krista Beasley, NP
-
Brendan Beggs, M.S., LPC
-
Krysten L Begley, MSN, FNP-C
-
Diana Pinto Beltran Washington, DBH, LPC
-
Diana P Bernardez, MSN, AGNP-C
-
Angela Bernhardt, LCSW
-
Nancy Irene Brooker, MSN, APRN, ANP-BC
-
Derrick Lynn Byrd II, LCSW
-
Lauren Camacho, LCSW
-
Annette Caruso, LCSW
-
Herlinda C Castro, FNP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2333164 | Adelante Healthcare Roosevelt | Certificate of waiver | Oct 29, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Clinica Adelinte
- Part of
- Clinica Adelinte
Locations
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
9520 W Palm Ln
Ste 200
Phoenix, AZ 85037
Phone (623) 556-8860
3130 E Roosevelt St
Phoenix, AZ 85008
15317 W Bell Rd
Ste 109
Surprise, AZ 85374
Phone (844) 551-6691
16560 N Dysart Rd
Surprise, AZ 85378
Phone (602) 546-2294
811 N Tegner St
Wickenburg, AZ 85390
Phone (928) 684-9555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes | ||
| 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
- Adelante Healthcare-Roosevelt
Other providers in Phoenix, AZ
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- Adebola Adekanmbi
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All providers in Phoenix, AZ · Federally Qualified Health Center (FQHC) 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 7, 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.