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

6750 W Thunderbird Rd Ste B-108
Peoria, AZ 85381-5026

Phone

(623) 428-8110

Fax

(480) 779-6289

NPI assigned

Feb 14, 2024

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

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

  dba ADD Clinic of Arizona

  • Family Medicine Physician
  • Gilbert, AZ
  • NPI 1639934136
  NPD tax ID

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": "1710742218",
    "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": "6750 W THUNDERBIRD RD STE B-108",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815026",
            "telephone_number": "623-428-8110",
            "fax_number": "480-779-6289"
        }
    ],
    "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"
        }
    ]
}

• Danielle A Reed, LCSW
• Mackenzi Reeg
• Hewitt William Reese, DPM
• Katherine Reeves, PHARMD
• Regenerative Foot & Ankle LLC
• Shirli Regev, PHD
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• Leslie Joan Reimann, OTR/L
• Kristen Elizabeth Reiter, FNP
• Remote Monitoring Specialist LLC

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