Regenesis Healthcare, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REGENESIS HEALTHCARE, INC

Doing business as

ADD Clinic of Arizona

Practice address

8675 S Priest Dr Ste 102
Tempe, AZ 85284-1914

Phone

(480) 739-0007

Fax

(480) 779-6289

NPI assigned

Feb 26, 2018

Last updated

Feb 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sachin Diddee

Title

Co-Owner

Phone

(602) 773-5600

Specialties & licenses 1

Addresses

Other names 1

• ADD Clinic of Arizona Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 13

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.

• Jeanette Anuddin Cruz, M.D.

  • Family Medicine Physician
  • Surprise, AZ
  • NPI 1891971628
  Medicare reassignment Care Compare group NPD
• Jason E Gittman, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1255469599

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Jayven Sadae Dobbins, PA

  • Physician Assistant
  • Tempe, AZ
  • NPI 1720698814
  Medicare reassignment Care Compare group
• Nathan Bradley Payne, PA-C

  • Medical Physician Assistant
  • Phoenix, AZ
  • NPI 1073948550
  Medicare reassignment Care Compare group
• Lisa McPhee Grinnell

  • Physician Assistant
  • Scottsdale, AZ
  • NPI 1710549100
  Medicare reassignment NPD
• Nicole M Safer

  • Physician Assistant
  • Tempe, AZ
  • NPI 1275180457
  Medicare reassignment NPD
• Michael Dobbins, PA-C

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1376145789
  Medicare reassignment
• Melissa Jaclyn Lesaar, FNP-C

  • Nurse Practitioner
  • Tempe, AZ
  • NPI 1326454810
  NPD
• Hannah Caroline Power, PA-C

  • Physician Assistant
  • Blue Ash, OH
  • NPI 1548918154
  NPD
• Lakeisha Colter, PA-C

  • Medical Physician Assistant
  • Phoenix, AZ
  • NPI 1174935100
  NPD (past)
• Shalini Jeyakumar, MPAS, PA-C

  • Physician Assistant
  • Tempe, AZ
  • NPI 1801119995
  NPD (past)
• Kathy Nafisi, FNP-C

  • Family Medicine Physician
  • Fort McDowell, AZ
  • NPI 1811468465
  NPD (past)

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1275034183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 W INDIAN SCHOOL RD STE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133115",
            "telephone_number": "480-739-0007",
            "fax_number": "480-779-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8675 S PRIEST DR STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841914",
            "telephone_number": "480-739-0007",
            "fax_number": "480-779-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENESIS HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "DIDDEE",
        "authorized_official_first_name": "SACHIN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "602-773-5600"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADD Clinic of Arizona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Michael Reese, PHARMD
• Reflective Therapeutic Services, LLC
• Regal Garden Counseling (Regal Garden Counseling PLLC)
• Kristine Regalado
• Regeneration Grove Psychiatry LLC
• Claire Marie Regnitz, MS, PA-C
• Rehab Lab Arizona
• Joseph Stanley Reidhead, D.D.S.
• Mary D Reidhead, P.T.
• Crystal G Reidy, M.ED

• Family Medicine Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.