LITTLE SANCTUARY HEALTH CENTER
NPI 1326683376
Nurse Practitioner - Primary Care in Mesa, AZ
About Little Sanctuary Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LITTLE SANCTUARY HEALTH CENTER (NPI 1326683376) is a healthcare organization registered as a primary care in Mesa, Arizona and active in the NPI registry since November 2019. The organization lists Adella Cordova, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Little Sanctuary Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Little Sanctuary Health Center, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Little Sanctuary Health Center's NPI number?
The NPI number for Little Sanctuary Health Center is 1326683376. It was assigned to this organization in the NPPES registry on November 14, 2019.
Where is Little Sanctuary Health Center located?
Little Sanctuary Health Center is located at 840 W Southern Ave, Mesa, AZ 85210. The listed phone number is (480) 572-9759.
What is Little Sanctuary Health Center's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Little Sanctuary Health Center enrolled in Medicare?
Yes. Little Sanctuary Health Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Little Sanctuary Health Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Little Sanctuary Health Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Little Sanctuary Health Center was last updated on November 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Little Sanctuary Health Center · NPI 1326683376
Primary Care organization in Mesa, Arizona. Organization record, active in the CMS NPPES registry since November 14, 2019.
## Identity
- **NPI:** 1326683376 (Entity type: Organization)
- **Enumerated:** November 14, 2019
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Adella Cordova, MANAGER
## Practice location
- **Address:** 840 W SOUTHERN AVE, Mesa, AZ 85210-4901
- **Phone:** (480) 572-9759
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 14, 2019
- **Other identifiers:** Medicaid 954275 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1326683376) · Data from the CMS NPPES public registry.