Jayven Sadae Dobbins, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

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

Phone

(480) 739-0007

Fax

(480) 779-6289

NPI assigned

Aug 4, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jayven Heilman-Moore Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Loma Linda University School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regenesis Healthcare IncGroup PAC ID 1456700905, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Regenesis Healthcare, Inc

  dba ADD Clinic of Arizona

  • Family Medicine Physician
  • Tempe, AZ
  • NPI 1275034183
  Medicare reassignment Care Compare group
• Whispering Palms Medical Inc

  dba BritePath Medical

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1821314998
  NPD (past)

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1720698814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "last_name": "DOBBINS",
        "first_name": "JAYVEN",
        "middle_name": "SADAE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYVEN",
            "last_name": "HEILMAN-MOORE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittney Leeann Dixson
• DMJ LLC (DMJ Serenity House Tempe)
• Tina DO-Trinh, RPH
• Julia DO
• Bradley Christopher Doan, D.C.
• Doctors Choice Hospice LLC
• Doctors Outpatient Surgical Center
• Alyssa Jordan Dodd
• Olivia Rose Dodd
• Sarah Dodge

• Physician Assistant in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.