Individual provider Active NPI

Cameron Bashy Hajizadeh, PA-C

  • Physician Assistant
  • Murray, UT
National Provider Identifier
1467221267
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13670607-1206 Issued in UT
Practice address
5848 S Fashion Blvd Ste 110
Murray, UT 84107-6175
Phone
(801) 314-4188
Fax
(801) 314-4015
NPI assigned
Dec 21, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 13670607-1206 UT Primary

Addresses

Primary practice location

5848 S Fashion Blvd Ste 110
Murray, UT 84107-6175

Mailing address

2005 E Fardown Ave
Holladay, UT 84121-1406
Phone (801) 556-9727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240130002763 UT Practitioner - Physician Assistant 0648623280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Orthopedic Clinic LCGroup PAC ID 8527090729, 18 clinicians

Practice addresses (Care Compare)

5848 S Fashion Blvd
Suite 110
Salt Lake City, UT 84107-6175
Phone (801) 314-4188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
13670607-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
After Hours Medical LLC, Dba Medallus Medical CurrentSince Jan 17, 2024 Accepting new patients

Locations

1126 E Draper Pkwy
Draper, UT 84020
Phone (801) 545-0600

3934 S 2300 E
Ste D
Salt Lake City, UT 84124
Phone (801) 849-8500

10433 S Redwood Rd
#2
South Jordan, UT 84095
Phone (801) 260-1919

Interoperability endpoints

  • Direct secure messaging: cameron.hajizadeh.1@28271.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1467221267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 E FARDOWN AVE",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841211406",
            "telephone_number": "801-556-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5848 S FASHION BLVD STE 110",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076175",
            "telephone_number": "801-314-4188",
            "fax_number": "801-314-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJIZADEH",
        "first_name": "CAMERON",
        "middle_name": "BASHY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-21",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "13670607-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.