Zachery Tyler Camacho
NPI 1154160612ActiveIndividual· Physician Assistant, Surgical· Glendale, AZ
Physician Assistant, Surgical in Glendale, Arizona, trained at Yale University School of Medicine (class of 2024). Enrolled in Medicare as practitioner - physician assistant and practitioner - physician assistant.
Overview
| NPI | 1154160612 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 23, 2024 |
| Last updated in NPPES | Mar 5, 2026 |
| Certified by provider | Mar 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 11559 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AZ); Practitioner - Physician Assistant (NC) |
|---|
Education and affiliations
| Medical school | Yale University School of Medicine |
|---|---|
| Graduation year | 2024 |
| Medicare specialty | Physician Assistant |
Medical group
- Banner Physician Specialists Arizona LLCChandler, AZ · 373 clinicians
Hospital affiliations
- Banner Boswell Medical CenterSun City, AZ
- Unc HospitalsChapel Hill, NC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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