NPIMap

Organization Active NPI

Adelante Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mesa, AZ
National Provider Identifier
1891853446
Registry record updated Dec 2, 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.
Practice address
1705 W Main St
Mesa, AZ 85201-6920
Phone
(480) 964-2273
NPI assigned
Dec 5, 2006
Reactivated
Jul 18, 2017
Last updated
Dec 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X AZ
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X AZ
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1705 W Main St
Mesa, AZ 85201-6920

Mailing address

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

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
O20080908000362 AZ Part A Provider - Federally Qualified Health Center (FQHC) 4688588643 Practice locations: Mesa, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891853446. Details of each certification follow.

Federally qualified health center certification: CCN 031816

Legal name
ADELANTE HEALTHCARE, INC
Doing business as
ADELANTE HEALTHCARE MESA
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 5, 1994
Last certification
Apr 5, 1994
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1980 in AZ
Enrollment address
1705 W Main St
Mesa, AZ 85201-6920
Related CCNs
031800

Facilities connected through Provider of Services related, parent or unit certification numbers.

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

National Provider Directory

National Provider Directory

Locations

15317 W Bell Rd
Ste 100
Surprise, AZ 85374

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jan Hertzfeld Individual Corporate DirectorBoard Member Jun 24, 2021
Robert D Babyar Individual Corporate OfficerChief Medical Officer Sep 6, 2016 10%
Jill Rhodes Individual Corporate DirectorBoard Member Aug 5, 2022
Michael Ellenby Individual Corporate DirectorBoard Member Mar 22, 2018
Jason Reed Individual Corporate DirectorBoard Member Sep 27, 2018
Audrey Michelle Bohanan Individual Corporate OfficerChief People Officer Dec 11, 2011 10%
Guadalupe Campos Individual Corporate DirectorBoard Member May 27, 2021
Gordon L Grado Individual Corporate DirectorBoard Member Jul 23, 2015
Heather Boysel Individual Corporate DirectorBoard Member Jun 23, 2016
Sentari Mychale Minor Individual Corporate DirectorBoard Member Apr 3, 2015
Jennifer Halfar Individual W-2 Managing EmployeeSenior Billing Manager May 4, 2020
Nelida Acosta Individual Corporate DirectorBoard Member May 27, 2021
Raymond Arvizu Individual Corporate DirectorBoard Member Dec 6, 2022
Pedro Cons Individual Corporate OfficerChief Executive Officer Jul 6, 2020 40%
Darrell Wayne Leonard Individual Corporate DirectorBoard Member Jan 22, 2015
Jonae Harrison Individual Corporate DirectorChief Compliance Officer Mar 3, 2022 10%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 51

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 51

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1891853446",
    "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",
            "fax_number": "623-876-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 W MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016920",
            "telephone_number": "480-964-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADELANTE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "deactivation_date": "2017-03-08",
        "reactivation_date": "2017-07-18",
        "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",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.