VISTANCIA HEALTH CLUB PLLC
NPI 1134066590
Nurse Practitioner - Family in Peoria, AZ

Active since May 02, 2026
29751 N EL MIRAGE RD UNIT 105, PEORIA, AZ 85383(602) 826-2919 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2026, May 2, 2026 (2 updates tracked since 2026).

About Vistancia Health Club Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISTANCIA HEALTH CLUB PLLC (NPI 1134066590) is a healthcare organization registered as a family in Peoria, Arizona and active in the NPI registry since May 2026. The organization lists Kaleb Ross Martorana, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1134066590
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameVISTANCIA HEALTH CLUB PLLC
Location Address29751 N EL MIRAGE RD UNIT 105Peoria, AZ 85383-6803
Mailing Address29751 N El Mirage Rd Unit 105 Pmb 1028Peoria, AZ 85383-2499 · (602) 826-2919
Organization SubpartNo
Authorized OfficialKaleb Ross MartoranaFamily Nurse Practitioner · (602) 826-2919
Enumeration DateMay 2, 2026
Last NPPES UpdateMay 28, 20262 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
NPI 1134066590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
29751 N EL MIRAGE RD UNIT 105, Peoria, AZ 85383

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
29751 N EL MIRAGE RD UNIT 105
PEORIA, AZ 85383

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vistancia Health Club PLLC's NPI number?

The NPI number for Vistancia Health Club PLLC is 1134066590. It was assigned to this organization in the NPPES registry on May 2, 2026.

Where is Vistancia Health Club PLLC located?

Vistancia Health Club PLLC is located at 29751 N El Mirage Rd Unit 105, Peoria, AZ 85383. The listed phone number is (602) 826-2919.

What is Vistancia Health Club PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Vistancia Health Club PLLC was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.