Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Zachery Tyler Camacho

Individual provider Surgical Physician Assistant · NPI 1154160612

Zachery Tyler Camacho is a Physician Assistant in Glendale, Arizona. Graduated from Yale University School of Medicine in 2024, 2 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Trained at
Yale University School of Medicine
Licensed in
AZ
In the registry since
2024
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Practice location Address checks out

5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone: (602) 865-5555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 11559 (AZ)

Record details

NPI number1154160612
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 23, 2024
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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