Organization Active NPI

Cameo Carter MD 2, a Professional Corporation

  • Urgent Care Clinic/Center
  • Redlands, CA
National Provider Identifier
1144754151
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
A94105 Issued in CA
Legal business name
CAMEO CARTER MD 2, A PROFESSIONAL CORPORATION
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

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

Authorized official

Name
Dr. Cameo Carter, MD
Title
Ceo
Phone
(909) 792-8866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X A94105 CA Primary

Addresses

Primary practice location

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

Mailing address

101 E Redlands Blvd
Suite 106a
Redlands, CA 92373-4775
Phone (909) 792-8866

Other names 1

  • Garden Pediatric Urgent Care, Inc. Doing business as

National Provider Directory

National Provider Directory
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.

Locations

101 E Redlands Blvd
Ste 106A
Redlands, CA 92373
Phone (909) 792-8866

NPI Registry JSON

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"
        }
    ]
}

Other providers in Redlands, CA

Sources for this page

  • 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.