Active NPI
Camelback Interventional Pain and Spine
- Interventional Pain Medicine Physician
- Mesa, AZ
National Provider Identifier
1588531065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- CAMELBACK INTERVENTIONAL PAIN AND SPINE
- Practice address
- 2919 S Ellsworth Rd Ste 109
Mesa, AZ 85212-2165 - Phone
- (480) 597-4321
- Fax
- (833) 559-0886
- NPI assigned
- Oct 20, 2025
- Last updated
- Oct 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Armen Derian, MD
- Title
- Owner
- Phone
- (480) 597-4321
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | NU | Primary |
Addresses
Primary practice location
2919 S Ellsworth Rd Ste 109
Mesa, AZ 85212-2165
Mailing address
2919 S Ellsworth Rd Ste 109
Mesa, AZ 85212-2165
Phone (480) 597-4321
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- Mesa, AZ
- NPI 1275978876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760918400000",
"number": "1588531065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2919 S ELLSWORTH RD STE 109",
"city": "MESA",
"state": "AZ",
"postal_code": "852122165",
"telephone_number": "480-597-4321",
"fax_number": "833-559-0886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2919 S ELLSWORTH RD STE 109",
"city": "MESA",
"state": "AZ",
"postal_code": "852122165",
"telephone_number": "480-597-4321",
"fax_number": "833-559-0886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMELBACK INTERVENTIONAL PAIN AND SPINE",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-20",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A",
"authorized_official_last_name": "DERIAN",
"authorized_official_first_name": "ARMEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-597-4321",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.