Healthcare Provider Details

I. General information

NPI: 1407568090
Provider Name (Legal Business Name): AARON CAMERO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2022
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date: 08/20/2026
Reactivation Date: 09/01/2026

III. Provider practice location address

333 W HENDERSON AVE
PORTERVILLE CA
93257-1732
US

IV. Provider business mailing address

1724 E MARY AVE
VISALIA CA
93292-1439
US

V. Phone/Fax

Practice location:
  • Phone: 559-570-5000
  • Fax:
Mailing address:
  • Phone: 559-802-7604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number141109
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: