Adelante Healthcare, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Phoenix, AZ
NPI 1528126133 · NPPES record last updated Apr 28, 2023
Key facts
- NPI
- 1528126133
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- ADELANTE HEALTHCARE, INC.
- Practice address
- 3033 N Central Ave Ste 145
Phoenix, AZ 85012-2808 - Phone
- (623) 583-3001
- Fax
- (623) 876-9559
- NPI assigned
- Dec 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Krystal Powell
- Title
- Revenue Cycle Director
- Phone
- (623) 583-3001
Other NPIs on the same Medicare enrollment 13
Practitioners 17
-
Shireen Kay Allen-Lawson, DNP, FNP-C
-
A. Yvette Alvarez-Rooney, LPC, LISAC
-
Brendan Beggs, M.S., LPC
-
Kenya S Clark, LCSW
-
Ricki Diamond, DO
-
Alexandra Kaye Hawkins, PA-C
-
Mayra Lorena Jirak, LPC
-
Angela Johansson, DO
-
Katie Christine Lee, M.D.
-
Davinder Singh Mann, M.D.
-
May Mokbelpur, MD
-
Paula Rae Piccoli, FNP-C
-
Darlaina Smith, PMHNP
-
Andrew Tapia, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Pediatrics Physician |
208000000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
3033 N Central Ave Ste 145
Phoenix, AZ 85012-2808
Mailing address
3033 N Central Ave Ste 145
Phoenix, AZ 85012-2808
Phone (623) 583-3001
Other providers in Phoenix, AZ
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- Adelante Healthcare, Inc.
- Adelante Speech Therapy
- Olufunmilola G Adeleye
- Brian Adelman
- Raymond D Adelman
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 Apr 28, 2023. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.