NPIMap

Organization Active NPI

Iora Senior Health, LLC

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1700235751
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
IORA SENIOR HEALTH, LLC
Practice address
9124 E Main St Ste 20-21
Mesa, AZ 85207-8700
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Jun 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Authorized official

Name
Suzanne Hansen
Title
Director, Clinical Ops & Perf
Phone
(888) 663-6331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

9124 E Main St Ste 20-21
Mesa, AZ 85207-8700

Mailing address

1 Embarcadero Ctr FL Ca919
San Francisco, CA 94111-3628
Phone (888) 663-6331

Other names 1

  • One Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151124001666 AZ Part B Supplier - Clinic/Group Practice 0143520189 Receives reassigned benefits from 147 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Phoenix, AZ; Queen Creek, AZ; Scottsdale, AZ; Sun City, AZ; Sun City West, AZ; Surprise, AZ; Tempe, AZ; Tucson, AZ…

National Provider Directory

National Provider Directory
Tax ID family
Iora Senior Health LLC20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Locations

6611 W Peoria Ave
Glendale, AZ 85302
Phone (602) 325-5580

8616 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 468-4809

1 Embarcadero Ctr
Fl CA919
San Francisco, CA 94111

Ownership & related parties

Other NPIs on the same Medicare enrollment 15

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

View all 15

Practitioners 15

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

View all 15

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
03D2115803One Medical - Ellsworth9124 E Main St, Suites 20-21, Mesa, AZ 85207Certificate of waiverApr 2, 2028

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1700235751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR FL CA919",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113628",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9124 E MAIN ST STE 20-21",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852078700",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IORA SENIOR HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "DIRECTOR, CLINICAL OPS & PERF",
        "authorized_official_telephone_number": "888-663-6331"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.