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ANDREW JACKSON CAMARGO FNP-C
NPI 1164318622
Nurse Practitioner - Family in Fontana, CA

Active since June 13, 2025PECOS EnrolledAccepts Medicare Assignment
16465 SIERRA LAKES PKWY STE 300, FONTANA, CA 92336(909) 429-2864 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2025, Jun 13, 2025 (2 updates tracked since 2025).

About Andrew Jackson Camargo Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW JACKSON CAMARGO FNP-C (NPI 1164318622) is an individual family provider in Fontana, California, licensed in California (95037457) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1164318622
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameANDREW JACKSON CAMARGOCredential: FNP-C
Location Address16465 SIERRA LAKES PKWY STE 300Fontana, CA 92336-1242
Mailing Address16465 Sierra Lakes Pkwy Ste 300Fontana, CA 92336-1242 · (909) 429-2864
Phone(909) 429-2864
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 13, 2025
Last NPPES UpdateOctober 28, 20252 updates tracked since enumeration
NPPES CertifiedOctober 28, 2025
✔ NPI 1164318622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95037457
16465 SIERRA LAKES PKWY STE 300, Fontana, CA 92336
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew Jackson Camargo Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577054220
PECOS Enrollment IDI20251111002102
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Andrew Camargo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cucamonga Valley Medical Group, Inc.
Same address
Family Medicine
16465 SIERRA LAKES PARKWAY, #300
Fontana, CA 92336
  • Reassigned Medicare billing, California enrollment
  • 17 clinicians in this Medicare group
NPI 1497783229 (909) 429-2864

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92336 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GIULIANA CILLIANI PA-C
Physician Assistant
16465 SIERRA LAKES PKWY STE 300
FONTANA, CA 92336
San Bernardino County (909) 429-2864
RISHMA VIREN BHATT NP
Nurse Practitioner (Family)
16465 SIERRA LAKES PKWY STE 300
FONTANA, CA 92336
San Bernardino County (909) 429-2864
MS. JACKELINE BEATRIZ LOPEZ PA-C, RDN
Physician Assistant
16465 SIERRA LAKES PKWY STE 300
FONTANA, CA 92336
San Bernardino County (909) 429-2864
MISS NATALIE KATHLEEN HERRERA PA-C
Physician Assistant
16465 SIERRA LAKES PKWY STE 300
FONTANA, CA 92336
San Bernardino County (909) 429-2864
BRANDON TONG D.O.
Internal Medicine
16465 SIERRA LAKES PKWY STE 300
FONTANA, CA 92336
San Bernardino County (909) 429-2864
CARLA IRIS GONZALEZ FNP-C
Nurse Practitioner (Family)
16465 SIERRA LAKES PKWY STE 300
FONTANA, CA 92336
San Bernardino County (909) 429-2864
KARLA TABORGA LOPEZ FNP
Nurse Practitioner (Family)
16465 SIERRA LAKES PKWY STE 300
FONTANA, CA 92336
San Bernardino County (909) 429-2864
AARON TOOLE PA
Physician Assistant (Medical)
16465 SIERRA LAKES PKWY STE 300
FONTANA, CA 92336
San Bernardino County (909) 429-2864

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Camargo's NPI number?

The NPI number for Andrew Camargo is 1164318622. It was assigned to this individual provider in the NPPES registry on June 13, 2025.

Where is Andrew Camargo located?

Andrew Camargo practices at 16465 Sierra Lakes Pkwy Ste 300, Fontana, CA 92336. The listed phone number is (909) 429-2864.

What is Andrew Camargo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Andrew Camargo enrolled in Medicare?

Yes. Andrew Camargo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Andrew Camargo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Camargo reassigns Medicare benefits to Cucamonga Valley Medical Group, Inc. (Fontana, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Camargo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrew Camargo was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.