Cameo Carter MD 2, a Professional Corporation

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

A94105 Issued in CA

Legal business name

CAMEO CARTER MD 2, A PROFESSIONAL CORPORATION

Doing business as

Garden Pediatric Urgent Care, Inc.

Practice address

101 E Redlands Blvd
Suite 106a
Redlands, CA 92373-4775

Phone

(909) 792-8866

Fax

(909) 792-9395

NPI assigned

Apr 17, 2017

Last updated

Jul 26, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cameo Carter, MDNPI 1447458963

Title

Ceo

Phone

(909) 792-8866

Specialties & licenses 1

Addresses

Other names 1

• Garden Pediatric Urgent Care, Inc. Doing business as

Tax ID family

Cameo Carter MD 2 a Professional Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Cameo Carter MD, a Professional Corporation

  dba Garden Pediatrics, Inc.

  • Pediatrics Physician
  • Redlands, CA
  • NPI 1447404611
  NPD tax ID
• Leah Botimer

  • Pediatrics Physician
  • Redlands, CA
  • NPI 1356710495
  NPD tax ID

Locations

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.

• Cameo Ashley Carter, M.D.

  • Obesity Medicine (Preventive Medicine) Physician
  • Redlands, CA
  • NPI 1447458963
  Authorized official Same address or phone

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501027200000",
    "number": "1144754151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E REDLANDS BLVD",
            "address_2": "SUITE 106A",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734775",
            "telephone_number": "909-792-8866",
            "fax_number": "909-792-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E REDLANDS BLVD",
            "address_2": "SUITE 106A",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734775",
            "telephone_number": "909-792-8866",
            "fax_number": "909-792-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMEO CARTER MD 2, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-07-26",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CAMEO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-792-8866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A94105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden Pediatric Urgent Care, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• California Kids Dental
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• California Sleep, Inc.
• Rowena R Camello, REGISTERED NURSE
• Cameo Carter MD, a Professional Corporation (Garden Pediatrics, Inc.)
• Cameo Carter, MD II, a Professional Corporation
• Antoinette Marie Cameron
• Joy Yvonne Cameron, RN
• Matthew Carroll Camp, M.D.

• Urgent Care Clinic/Center in Redlands, CA
• Providers in Redlands, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.