Cameron Chhour Van, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

75034 Issued in CA

Practice address

1800 Cavitt Dr
Folsom, CA 95630-6235

Phone

(916) 850-1005

Fax

(916) 850-1023

NPI assigned

Oct 19, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Cam Van Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1558812040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 CAVITT DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306235",
            "telephone_number": "916-850-1005",
            "fax_number": "916-850-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 CAVITT DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306235",
            "telephone_number": "916-850-1005",
            "fax_number": "916-850-1023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13111 Peyton Dr",
            "address_purpose": "LOCATION",
            "city": "Chino Hills",
            "state": "CA",
            "postal_code": "917096002",
            "country_code": "US",
            "telephone_number": "909-627-1876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN",
        "first_name": "CAMERON",
        "middle_name": "CHHOUR",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-19",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "75034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAM",
            "last_name": "VAN",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carmen Elisa Valentine I, MA
• Leonardo Adrian Valentine
• Ricardo A Valentine, DDS
• Sabine Van de Water
• Kristen Ashley Van Winkle
• Maria Roxana Vanderlei, LCSW
• Sophie Li-Shen Vang-Failla
• Susan Vang
• Anu Varghese, RN
• Syama S. Varudu, M.D.

• Pharmacist in Folsom, CA
• Providers in Folsom, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; 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.