Individual provider Active NPI

Cameron Sadegh, MD, PHD

  • Neurological Surgery Physician
  • Sacramento, CA
National Provider Identifier
1558742064
Registry record updated Sep 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A191255 Issued in CA
Practice address
3301 C St Ste 1500
Sacramento, CA 95816-3371
Phone
(916) 734-4300
Fax
(916) 734-0171
NPI assigned
Jun 11, 2015
Last updated
Sep 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X L-263836 MA
Neurological Surgery Physician 207T00000X 291544 MA
Neurological Surgery Physician 207T00000X A191255 CA Primary

Addresses

Primary practice location

3301 C St Ste 1500
Sacramento, CA 95816-3371

Mailing address

4860 Y St Ste 3740
Sacramento, CA 95817-2307
Phone (916) 734-3658

Other practice location 1

300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000

Other practice location 2

Massachusetts General Hospital
55 Fruit St.
Boston, MA 02114
Phone (617) 726-5143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220519001791 MA Practitioner - Neurosurgery 3072827278
I20231115002772 CA Practitioner - Neurosurgery 3072827278 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A191255CAMDNeurological Surgery Physician
291544MAMDNeurological Surgery Physician
L-263836MAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca Neurological Surgery CurrentSince Oct 1, 2023 Accepting new patients
Regents of the University of California CurrentSince Sep 2, 2025 Accepting new patients
Regents of the Univ of Ca CurrentSince Oct 1, 2023 Accepting new patients
Shriners Hospitals for Children CurrentSince Mar 25, 2024 Accepting new patients
Shriners Hospitals for Children CurrentSince Mar 25, 2024 Accepting new patients
Regents of the University of California CurrentSince Sep 2, 2025 Accepting new patients
Essent PRMC LP Past Accepting new patients
Regents of the University of California Past Accepting new patients
Shriners Hospitals for Children Past Accepting new patients

Locations

10850 White Rock Rd
Rancho Cordova, CA 95670

2425 Stockton Blvd
Sacramento, CA 95817
Phone (916) 453-2000

3160 Folsom Blvd
Ste 3900
Sacramento, CA 95816
Phone (916) 734-3658

3301 C St
Ste 1500
Sacramento, CA 95816
Phone (916) 734-3398

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

4860 Y St
Ste 3740
Sacramento, CA 95817
Phone (916) 734-3071

4868 X St
Ste 3C
Sacramento, CA 95817
Phone (916) 734-4300

Interoperability endpoints

  • Direct secure messaging: csadegh30525@direct.bostonchildrens.org
  • Direct secure messaging: csadegh679346@hisp.ehr.sutterhealth.org

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696032000000",
    "number": "1558742064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 3740",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-3658",
            "fax_number": "916-703-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 C ST STE 1500",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163371",
            "telephone_number": "916-734-4300",
            "fax_number": "916-734-0171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155724",
            "country_code": "US",
            "telephone_number": "617-355-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Massachusetts General Hospital",
            "address_2": "55 Fruit St.",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02114",
            "country_code": "US",
            "telephone_number": "617-726-5143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADEGH",
        "first_name": "CAMERON",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2023-09-30",
        "certification_date": "2023-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MA",
            "license": "L-263836",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MA",
            "license": "291544",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A191255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.