Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrew Jackson Camargo, FNP-C

Individual provider Family Nurse Practitioner · NPI 1164318622

Andrew Jackson Camargo, FNP-C is a Nurse Practitioner in Fontana, California. Qualified in 2025, 1 year ago. Practices with Cucamonga Valley Medical Group Inc, a 24-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

16465 Sierra Lakes Pkwy Ste 300
Fontana, CA 92336-1242
Phone: (909) 429-2864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95037457 (CA)

Record details

NPI number1164318622
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 13, 2025
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Cucamonga Valley Medical Group Inc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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