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REGENCY SPA LLC
NPI 1548844343
Clinic/Center - Medical Specialty in Surprise, AZ

Active since May 07, 2021CLIA Certified · 2 labs
14725 W MOUNTAIN VIEW BLVD, SURPRISE, AZ 85374(623) 243-9077 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Regency Spa Llc NPPES

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

REGENCY SPA LLC (NPI 1548844343) is a healthcare organization registered as a medical specialty in Surprise, Arizona and active in the NPI registry since May 2021. The organization holds 2 active CLIA laboratory certificates and lists Jason Lee Mussman, Owner, as its authorized official.

NPPES Registry Identity

NPI1548844343
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameREGENCY SPA LLC
Location Address14725 W MOUNTAIN VIEW BLVDSurprise, AZ 85374-2704
Mailing Address10240 W Indian School Rd Ste 115Phoenix, AZ 85037-5905 · (623) 243-9077
Phone(623) 243-9077
Organization SubpartNo
Authorized OfficialJason Lee MussmanOwner · (623) 243-9077
Enumeration DateMay 7, 2021
NPPES CertifiedMay 7, 2021
✔ NPI 1548844343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
14725 W MOUNTAIN VIEW BLVD, Surprise, AZ 85374
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CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 03D2159960

Regency Specialties · Surprise, AZ
Active · expires Feb 17, 2028
CLIA Number03D2159960
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2026
Certificate Expiration DateFebruary 17, 2028
Laboratory DirectorIngerlisa Mattoch
Laboratory Phone(623) 243-9077
Laboratory LocationRegency Specialties14725 W Mountain View Blvd, Suite 275, Surprise, AZ 85374
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 03D2188616

Regency Specialties · Surprise, AZ
Active · expires Nov 29, 2026
CLIA Number03D2188616
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2024
Certificate Expiration DateNovember 29, 2026
Laboratory DirectorBetty Hinderks-Davis
Laboratory Phone(623) 243-9077
Laboratory LocationRegency Specialties14725 W Mountain View Blvd, Suite 100, Surprise, AZ 85374
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 7

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

REGENCY AMBULATORY SURGERY CENTER ONE, LLC
Clinic/Center (Ambulatory Surgical)
14725 W MOUNTAIN VIEW BLVD
SURPRISE, AZ 85374
Maricopa County (623) 243-9077
LAUREN FULLER
Student in an Organized Health Care Education/Training Program
14725 W MOUNTAIN VIEW BLVD
SURPRISE, AZ 85374
Maricopa County (623) 243-9077
REGENCY AMBULATORY SURGERY CENTER ONE
Surgery (Plastic and Reconstructive Surgery)
14725 W MOUNTAIN VIEW BLVD
SURPRISE, AZ 85374
Maricopa County (623) 243-9077
BETTY A HINDERKS DAVIS MD
Dermatology (MOHS-Micrographic Surgery)
14725 W MOUNTAIN VIEW BLVD
SURPRISE, AZ 85374
Maricopa County (623) 243-9077
MAYA TORRES PA-C
Physician Assistant
14725 W MOUNTAIN VIEW BLVD
SURPRISE, AZ 85374
Maricopa County (623) 243-9077
REBEKAH BRAUN
Physician Assistant
14725 W MOUNTAIN VIEW BLVD
SURPRISE, AZ 85374
Maricopa County (623) 243-9077
REGENCY SKIN INSTITUTE PLLC
Dermatology (MOHS-Micrographic Surgery)
14725 W MOUNTAIN VIEW BLVD
SURPRISE, AZ 85374
Maricopa County (623) 243-9077

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 Regency Spa LLC's NPI number?

The NPI number for Regency Spa LLC is 1548844343. It was assigned to this organization in the NPPES registry on May 7, 2021.

Where is Regency Spa LLC located?

Regency Spa LLC is located at 14725 W Mountain View Blvd, Surprise, AZ 85374. The listed phone number is (623) 243-9077.

What is Regency Spa LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Regency Spa LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Regency Spa LLC was last updated on May 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.