Individual provider Active NPI

Ingrid Linnea Larsson, M.D.

  • Internal Medicine Physician
  • Orinda, CA
National Provider Identifier
1114283322
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A130729 Issued in CA
Practice address
12 Camino Encinas
Orinda, CA 94563-3304
Phone
(510) 204-8166
Fax
(925) 254-0687
NPI assigned
Apr 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A130729 CA Primary

Addresses

Primary practice location

12 Camino Encinas
Orinda, CA 94563-3304

Mailing address

3687 Mt Diablo Blvd
Suite 200
Lafayette, CA 94549-3717
Phone (916) 854-6975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160315000519 CA Practitioner - Internal Medicine 3779889944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tufts University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

12 Camino Encinas
Orinda, CA 94563-3304
Phone (510) 204-8180

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Concord, CA, CCN 057004
  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043
  • California Pacific Medical Ctr-Davies Campus Hosp Hospital, San Francisco, CA, CCN 050008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
130729CAMDClinical Social Worker
A130729CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients

Locations

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

3687 Mt Diablo Blvd
Ste 200
Lafayette, CA 94549
Phone (510) 204-6660

350 30th St
Ste 100
Oakland, CA 94609
Phone (510) 204-8290

12 Camino Encinas
Orinda, CA 94563
Phone (510) 204-8180

Interoperability endpoints

  • Direct secure messaging: ilarssonresspmf126263@hisp.ehr.sutterhealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1114283322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3687 MT DIABLO BLVD",
            "address_2": "SUITE 200",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493717",
            "telephone_number": "916-854-6975",
            "fax_number": "916-854-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CAMINO ENCINAS",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945633304",
            "telephone_number": "510-204-8166",
            "fax_number": "925-254-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSSON",
        "first_name": "INGRID",
        "middle_name": "LINNEA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A130729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orinda, CA

Sources for this page

Verify at the official NPI Registry.