Regenesis Healthcare, INC
Family Medicine in Gilbert, AZ. Organization (NPI-2).
NPI number1639934136
StatusActive
Last updated in NPPESFeb 14, 2024
Details
- NPI
- 1639934136
- Entity type
- Organization (NPI-2)
- Legal business name
- Regenesis Healthcare, INC
- Organization subpart
- No
- Enumeration date
- Feb 14, 2024
- Certification date
- Feb 14, 2024
- Last updated
- Feb 14, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Add Clinic Of Arizona (Doing Business As)
Practice location
3303 E Baseline Rd Ste 114Gilbert, AZ 85234-2740
Phone 480-553-8517 · Fax 480-739-9231
Mailing address
1108 W Indian School Rd Ste BPhoenix, AZ 85013-3115
Phone 602-773-5600 · Fax 602-773-5601
Authorized official
Sachin Diddee
Co-Owner
4807390007
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