Active NPI
Henry G. Ingersoll, M.D.
- Cardiovascular Disease Physician
- La Jolla, CA
National Provider Identifier
1629088059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G27265
- Practice address
- 2043 Via Ladeta
La Jolla, CA 92037-6905 - Phone
- (858) 735-5970
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G27265 | CA | Primary |
Addresses
Primary practice location
2043 Via Ladeta
La Jolla, CA 92037-6905
Mailing address
2043 Via Ladeta
La Jolla, CA 92037-6905
Phone (858) 735-5970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G272650 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27265 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772323200000",
"number": "1629088059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2043 VIA LADETA",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920376905",
"telephone_number": "858-735-5970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2043 VIA LADETA",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920376905",
"telephone_number": "858-735-5970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGERSOLL",
"first_name": "HENRY",
"middle_name": "G.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2026-03-01",
"certification_date": "2026-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G27265",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G272650",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Jolla, CA
- Shashita Inamdar, M.D., PH.D, DABPN
- Karina Nataly Inda
- Indigo and Ease Acupuncture and Integrative Health Incorporated
- Jacqueline Owen Inge
- Hannah Marie Ingersoll, MSW
- Integral Medical Group, Inc.
- Integrative Cardiovascular Center of la Jolla
- International Center for Behavioral Health
- Jillian Inumerable, ATC
- Rama Inza, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.