Healthcare Provider Details

I. General information

NPI: 1447458963
Provider Name (Legal Business Name): CAMEO ASHLEY CARTER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2007
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 E HIGHLAND AVE
REDLANDS CA
92373-6826
US

IV. Provider business mailing address

470 E HIGHLAND AVE
REDLANDS CA
92373-6826
US

V. Phone/Fax

Practice location:
  • Phone: 909-792-8866
  • Fax: 909-792-9395
Mailing address:
  • Phone: 909-792-8866
  • Fax: 909-792-9395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA94105
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License NumberA94105
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: