Tempe Angic, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

TEMPE ANGIC, LLC

Doing business as

Camelback Medical Centers

Practice address

1855 E Guadalupe Rd Ste 112
Tempe, AZ 85283-3269

Phone

(480) 839-8552

NPI assigned

Apr 21, 2021

Last updated

Oct 16, 2025By 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

Cassidy Gaddis

Title

Credentialing Officer

Phone

(480) 306-7227

Specialties & licenses 4

Addresses

Other names 1

• Camelback Medical Centers Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Practitioners 6

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.

• Michael David Cormier, D.C.

  • Chiropractor
  • Scottsdale, AZ
  • NPI 1851499057
  Medicare reassignment Care Compare group NPD
• Christopher John Kelsch, D.C.

  • Rehabilitation Chiropractor
  • Tempe, AZ
  • NPI 1932101714
  Medicare reassignment Care Compare group NPD
• Olga Matatova, PA-C

  • Medical Physician Assistant
  • Scottsdale, AZ
  • NPI 1992123046
  Medicare reassignment Care Compare group NPD
• Jared Shaw, PA

  • Physician Assistant
  • Scottsdale, AZ
  • NPI 1750859575
  Medicare reassignment Care Compare group NPD
• Andre Khoury, PA-C

  • Physician Assistant
  • Henderson, NV
  • NPI 1972803336

  AZ

  Medicare reassignment
• Robert Greg Schneider, DC

  • Chiropractor
  • Scottsdale, AZ
  • NPI 1063291169
  NPD (past)

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1851973739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4432 N MILLER RD STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513697",
            "telephone_number": "480-306-7227",
            "fax_number": "480-306-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 E GUADALUPE RD STE 112",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833269",
            "telephone_number": "480-839-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPE ANGIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "GADDIS",
        "authorized_official_first_name": "CASSIDY",
        "authorized_official_title_or_position": "CREDENTIALING OFFICER",
        "authorized_official_telephone_number": "480-306-7227"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camelback Medical Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tabetha Tejeda
• Binyam Tekae
• Luis Tello
• Tempe Advanced Treatment Center
• Tempe Ambulatory Surgical Center, LLC
• Tempe Birth Center, L.L.C.
• Tempe Community Action Agency Incorporated
• Tempe Community Acupuncture
• Tempe Dental Care
• Tempe Dental Partners LLC (Risas Dental and Braces)

• Physical Medicine & Rehabilitation Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.