Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GENESIS MOBILE DOCTORS
NPI 1417860099
Nurse Practitioner in Phoenix, AZ

Q: What is Genesis Mobile Doctors's NPI number?

The NPI number for Genesis Mobile Doctors is 1417860099. It was assigned to this organization in the NPPES registry on September 24, 2026.

Q: What is Genesis Mobile Doctors's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since September 24, 2026

2737 E GREENWAY PKWY STE 8, PHOENIX, AZ 85032(602) 699-6267(602) 699-6267 Get Directions Write a Review

NPPES record added: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Genesis Mobile Doctors NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS MOBILE DOCTORS (NPI 1417860099) is a healthcare organization registered as a nurse practitioner in Phoenix, Arizona and active in the NPI registry since September 2026. The organization lists Chaz Lynne Malicdem, Facility Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1417860099

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameGENESIS MOBILE DOCTORS

Location Address2737 E GREENWAY PKWY STE 8Phoenix, AZ 85032-3699

Mailing Address18621 N 13th DrPhoenix, AZ 85027-5401 · (520) 396-9725 · Fax (602) 699-6267

Phone(602) 699-6267

Fax(602) 699-6267

Organization SubpartNo

Authorized OfficialChaz Lynne MalicdemFacility Operations Manager · (520) 396-9725

Enumeration DateSeptember 24, 2026

NPPES CertifiedSeptember 24, 2026

✔ NPI 1417860099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2737 E GREENWAY PKWY STE 8, Phoenix, AZ 85032

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesis Mobile Doctors's NPI number?

The NPI number for Genesis Mobile Doctors is 1417860099. It was assigned to this organization in the NPPES registry on September 24, 2026.

Where is Genesis Mobile Doctors located?

Genesis Mobile Doctors is located at 2737 E Greenway Pkwy Ste 8, Phoenix, AZ 85032. The listed phone number is (602) 699-6267.

What is Genesis Mobile Doctors's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Genesis Mobile Doctors was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.