Regenesis Healthcare, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REGENESIS HEALTHCARE, INC

Practice address

3303 E Baseline Rd Ste 114
Gilbert, AZ 85234-2740

Phone

(480) 553-8517

Fax

(480) 739-9231

NPI assigned

Feb 14, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Sachin Diddee

Title

Co-Owner

Phone

(480) 739-0007

Specialties & licenses 1

Addresses

Other names 1

• ADD Clinic of Arizona Doing business as

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

CLIA laboratory certificates

Tax ID family

Add Clinic of Arizona2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Regenesis Healthcare, Inc

  • Family Medicine Physician
  • Peoria, AZ
  • NPI 1710742218
  NPD tax ID

Locations

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1639934136",
    "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": "602-773-5600",
            "fax_number": "602-773-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 E BASELINE RD STE 114",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342740",
            "telephone_number": "480-553-8517",
            "fax_number": "480-739-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENESIS HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "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": "480-739-0007",
        "authorized_official_name_prefix": "Mr."
    },
    "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"
        }
    ]
}

• Matthew Reed, LAC
• Chelsea B Reeder, PTA
• Steven R Reeder, MD
• Joye Awanda Reese-Smith, RN
• Reflections Hospice of Arizona North
• Kalie Reginato
• Rebekah Regnell
• Rehoboth Homes LLC
• James Michael Reidy, D.O.
• Katelyn Rae Reilly, DMD

• Family Medicine Physician in Gilbert, AZ
• Providers in Gilbert, 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 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.