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MESA REGEN GROUP, LLC
NPI 1548804800
Physical Medicine & Rehabilitation - Pain Medicine in Mesa, AZ

Active since October 30, 2019
5233 E SOUTHERN AVE STE 103, MESA, AZ 85206(480) 830-2882(480) 830-2881 Get Directions Write a Review

NPPES record last updated: July 7, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 7, 2020, Oct 30, 2019 (2 updates tracked since 2019).

About Mesa Regen Group, Llc NPPES

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

MESA REGEN GROUP, LLC (NPI 1548804800) is a healthcare organization registered as a pain medicine in Mesa, Arizona and active in the NPI registry since October 2019. The organization lists Derek Paul Pruni, Member, as its authorized official.

NPPES Registry Identity

NPI1548804800
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameMESA REGEN GROUP, LLC
Location Address5233 E SOUTHERN AVE STE 103Mesa, AZ 85206-3628
Mailing Address5233 E Southern Ave Ste 103Mesa, AZ 85206-3628 · (480) 830-2882 · Fax (480) 830-2881
Phone(480) 830-2882
Fax(480) 830-2881
Organization SubpartNo
Authorized OfficialDerek Paul PruniMember · (480) 200-7846
Enumeration DateOctober 30, 2019
Last NPPES UpdateJuly 7, 20202 updates tracked since enumeration
NPPES CertifiedJuly 7, 2020
✔ NPI 1548804800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
5233 E SOUTHERN AVE STE 103, Mesa, AZ 85206
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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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHERN MEDICAL GROUP LLC
Physical Medicine & Rehabilitation
5233 E SOUTHERN AVE STE 103
MESA, AZ 85206
Maricopa County (480) 830-2882
EAST SOUTHERN MEDICAL GROUP, LLC
Physical Medicine & Rehabilitation
5233 E SOUTHERN AVE STE 103
MESA, AZ 85206
Maricopa County (480) 830-2882
EAST VALLEY MEDICAL GROUP, LLC
Physical Medicine & Rehabilitation
5233 E SOUTHERN AVE STE 103
MESA, AZ 85206
Maricopa County (480) 830-2882
APPLE MEDICAL GROUP LLC
Physical Medicine & Rehabilitation (Pain Medicine)
5233 E SOUTHERN AVE STE 103
MESA, AZ 85206
Maricopa County (480) 888-6675
5233 MEDICAL GROUP, LLC
Physical Medicine & Rehabilitation
5233 E SOUTHERN AVE STE 103
MESA, AZ 85206
Maricopa County (480) 830-2882

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 Mesa Regen Group, LLC's NPI number?

The NPI number for Mesa Regen Group, LLC is 1548804800. It was assigned to this organization in the NPPES registry on October 30, 2019.

Where is Mesa Regen Group, LLC located?

Mesa Regen Group, LLC is located at 5233 E Southern Ave Ste 103, Mesa, AZ 85206. The listed phone number is (480) 830-2882.

What is Mesa Regen Group, LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

When was this NPI record last updated?

The NPPES record for Mesa Regen Group, LLC was last updated on July 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.