Vistancia Health Club PLLC
NPI 1134066590ActiveOrganization· Nurse Practitioner, Family· Peoria, AZ
Nurse Practitioner, Family in Peoria, Arizona, registered in NPPES in May 2026. The authorized official on file is Kaleb Ross Martorana, FNP, Family Nurse Practitioner.
Overview
| NPI | 1134066590 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 2, 2026 |
| Last updated in NPPES | May 28, 2026 |
| Certified by provider | May 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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