Healthcare Provider Details

I. General information

NPI: 1568372639
Provider Name (Legal Business Name): JOY YVONNE CAMERON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26001 REDLANDS BLVD
REDLANDS CA
92373
US

IV. Provider business mailing address

1596 DAWNRIDGE DR
BEAUMONT CA
92223-3365
US

V. Phone/Fax

Practice location:
  • Phone: 909-825-7084
  • Fax: 909-894-7961
Mailing address:
  • Phone: 909-825-7084
  • Fax: 909-894-7961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number95101590
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: