Active NPI
Jessica Ing
- Obstetrics & Gynecology Physician
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A136183
- Practice address
- 3200 Kearney St
Fremont, CA 94538-2299 - Phone
- (510) 498-2178
- NPI assigned
- Jul 24, 2015
- Last updated
- Jun 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A136183 | CA | Primary |
Addresses
Primary practice location
3200 Kearney St
Fremont, CA 94538-2299
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (650) 254-5200
Other practice location 1
8700 Beverly Blvd
Suite 3622
West Hollywood, CA 90048-1804
Phone (310) 423-7417
Other practice location 2
8700 Beverly Blvd
Suite 3622
West Hollywood, CA 90048-1804
Phone (310) 423-7417
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sutter Bay Medical Foundation
Practice addresses (Care Compare)
3200 Kearney St
Fremont, CA 94538-2299
Phone (510) 490-1222
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136183 | CA | MD | Marriage & Family Therapist |
| A136183 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Eden Medical Center/San Leandro Hospital Campus | Past | Accepting new patients | |
| Washington Township Hospital District | Past | Accepting new patients |
Locations
20101 Lake Chabot Rd
Fl 4
Castro Valley, CA 94546
Phone (510) 247-6330
3120 Kearney St
Fremont, CA 94538
Phone (650) 498-3600
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174
701 E El Camino Real
#1
Mountain View, CA 94040
Phone (650) 404-8440
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
301 Industrial Rd
#1
San Carlos, CA 94070
Phone (650) 404-8455
2581 Samaritan Dr
Ste 308
San Jose, CA 95124
Phone (408) 355-1700
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
Interoperability endpoints
- jing365342@hisp.ehr.sutterhealth.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
dba Palo Alto Medical Foundation
- Ambulatory Surgical Clinic/Center
- Palo Alto, CA
- NPI 1104067115
-
- Ambulatory Surgical Clinic/Center
- Fremont, CA
- NPI 1497996524
-
- Ambulatory Surgical Clinic/Center
- Mountain View, CA
- NPI 1982845186
-
- Ambulatory Surgical Clinic/Center
- San Carlos, CA
- NPI 1164840088
-
- Ambulatory Surgical Clinic/Center
- Fremont, CA
- NPI 1306241534
-
dba Palo Alto Medical Foundation
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
dba San Leandro Hospital
- Rehabilitation Hospital Unit
- San Leandro, CA
- NPI 1679523633
-
- General Acute Care Hospital
- Fremont, CA
- NPI 1154472058
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Eden Medical Center
- General Acute Care Hospital
- Castro Valley, CA
- NPI 1063812907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591056000000",
"number": "1568847044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "650-254-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 KEARNEY ST",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382299",
"telephone_number": "510-498-2178"
}
],
"practiceLocations": [
{
"address_1": "8700 Beverly Blvd",
"address_2": "Suite 3622",
"address_purpose": "LOCATION",
"city": "West Hollywood",
"state": "CA",
"postal_code": "900481804",
"country_code": "US",
"telephone_number": "310-423-7417",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8700 Beverly Blvd",
"address_2": "Suite 3622",
"address_purpose": "LOCATION",
"city": "West Hollywood",
"state": "CA",
"postal_code": "900481804",
"country_code": "US",
"telephone_number": "310-423-7417",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ING",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-24",
"last_updated": "2020-06-02",
"certification_date": "2020-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A136183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.