Organization Active NPI

Cameron Ria LLC

  • Ophthalmology Physician
  • Phoenix, AZ
National Provider Identifier
1346550530
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
32803 Issued in AZ
Legal business name
CAMERON RIA LLC
Practice address
4045 E Union Hills Dr Ste 115
Phoenix, AZ 85050
Phone
(602) 368-3448
Fax
(602) 357-3323
NPI assigned
Oct 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sharam Danesh, MDNPI 1003808809
Title
Owner
Phone
(602) 368-3448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 32803 AZ Primary

Addresses

Primary practice location

4045 E Union Hills Dr Ste 115
Phoenix, AZ 85050

Mailing address

PO Box 12846
Scottsdale, AZ 85267-2846
Phone (602) 368-3448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110311000248 AZ Part B Supplier - Clinic/Group Practice 1557543501 Receives reassigned benefits from 7 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

9185 W Thunderbird Rd
Ste C104
Peoria, AZ 85381

9185 W Thunderbird Rd
Peoria, AZ 85381

1102 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 665-6900

4045 E Union Hills Dr
Ste 115
Phoenix, AZ 85050
Phone (602) 368-3448

3030 N Central Ave
Ste 1106
Phoenix, AZ 85012

13920 W Camino del Sol
Sun City West, AZ 85375
Phone (623) 974-4753

13920 W Camino del Sol
Ste 5
Sun City West, AZ 85375

Interoperability endpoints

  • Direct secure messaging: sbhavan@pra.intellechartdirect.net
  • Direct secure messaging: dchurgin@pra.intellechartdirect.net
  • Direct secure messaging: dkayser@pra.intellechartdirect.net
  • Direct secure messaging: sdanesh@pra.intellechartdirect.net
  • Direct secure messaging: jcho@pra.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1346550530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12846",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852672846",
            "telephone_number": "602-368-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E UNION HILLS DR STE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85050",
            "telephone_number": "602-368-3448",
            "fax_number": "602-357-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMERON RIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "DANESH",
        "authorized_official_first_name": "SHARAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-368-3448",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "32803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.