Active NPI
Prosano Health Solutions, Inc.
Doing business as Prosano Health
- Primary Care Clinic/Center
- Goodyear, AZ
National Provider Identifier
1336952308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- PROSANO HEALTH SOLUTIONS, INC.
- Doing business as
- Prosano Health
- Practice address
- 1360 N Bullard Ave Ste 102
Goodyear, AZ 85395-2744 - Phone
- (855) 776-7266
- Fax
- (602) 336-7675
- NPI assigned
- Jan 31, 2025
- Last updated
- May 22, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Mental Health Counselor | 101YM0800X | |||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Pediatrics Physician | 208000000X | |||
| Non-Pharmacy Dispensing Site | 332900000X |
Addresses
Primary practice location
1360 N Bullard Ave Ste 102
Goodyear, AZ 85395-2744
Mailing address
8220 N 23Rd Ave
Phoenix, AZ 85021-4872
Phone (855) 776-7266
Other names 1
- Prosano Health
National Provider Directory
National Provider Directory- Tax ID family
- Prosano Health Solutions Inc
Other organizations with this tax ID 10
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Peoria, AZ
- NPI 1114702370
-
dba Prosano Health
- Primary Care Clinic/Center
- Tucson, AZ
- NPI 1245079656
-
- Primary Care Clinic/Center
- Scottsdale, AZ
- NPI 1346027695
-
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1427812197
-
- Primary Care Clinic/Center
- Peoria, AZ
- NPI 1447969951
-
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1619753126
-
dba Prosano Health
- Primary Care Clinic/Center
- Tucson, AZ
- NPI 1679312086
-
dba Prosano Health
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1740029156
-
- Primary Care Clinic/Center
- Mesa, AZ
- NPI 1851155535
-
- Primary Care Clinic/Center
- Gilbert, AZ
- NPI 1902683238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747872000000",
"number": "1336952308",
"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",
"telephone_number": "855-776-7266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 N BULLARD AVE STE 102",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853952744",
"telephone_number": "855-776-7266",
"fax_number": "602-336-7675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROSANO HEALTH SOLUTIONS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-31",
"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": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Prosano Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Prosano Health",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Alice Proia, NP
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- Cristian Lizeth Prudencio
- Jacquelyn Puchala, OTR/L
- Marvie Punzalan
- Pure Water Recovery and Sober Living, LLC
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.