Genesis Mobile Doctors

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

GENESIS MOBILE DOCTORS

Practice address

2737 E Greenway Pkwy Ste 8
Phoenix, AZ 85032-3699

Phone

(602) 699-6267

Fax

(602) 699-6267

NPI assigned

Sep 24, 2026

Last updated

Sep 24, 2026By 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

Chaz Lynne Malicdem

Title

Facility Operations Manager

Phone

(520) 396-9725

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1417860099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18621 N 13TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275401",
            "telephone_number": "520-396-9725",
            "fax_number": "602-699-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 E GREENWAY PKWY STE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323699",
            "telephone_number": "602-699-6267",
            "fax_number": "602-699-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MOBILE DOCTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "MALICDEM",
        "authorized_official_first_name": "CHAZ",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "FACILITY OPERATIONS MANAGER",
        "authorized_official_telephone_number": "520-396-9725"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Behavioral Clinic LLC
• Genesis Community LLC
• Genesis Homecare Agency
• Genesis Hospicecare Services, Inc.
• Genesis Medical Practice Management
• Bryan Albert Gengenbach, PHARMD
• Jessica Anne Gennaro, LCSW
• Randi Janelle Gennaro, MSC, LAC
• Adam Kimball Geno, MSN, PMHNP-BC
• Genoa Healthcare LLC

• Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.