Organization Active NPI

Ingrid E Trenkle MD Inc

  • Dermatology Physician
  • Redlands, CA
National Provider Identifier
1629111919
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G27162 Issued in CA
Legal business name
INGRID E TRENKLE MD INC
Practice address
124 E Olive Ave
Redlands, CA 92373-5250
Phone
(909) 335-2018
Fax
(909) 335-1641
NPI assigned
Feb 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ingrid E Trenkle, MDNPI 1629161260
Title
Owner Physician
Phone
(909) 335-2018

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G27162 CA Primary

Addresses

Primary practice location

124 E Olive Ave
Redlands, CA 92373-5250

Mailing address

124 E Olive Ave
Redlands, CA 92373-5250
Phone (909) 335-2018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160629001404 CA Part B Supplier - Clinic/Group Practice 3971894544 Receives reassigned benefits from 1 practitioner
Practice locations: Redlands, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629111919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E OLIVE AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735250",
            "telephone_number": "909-335-2018",
            "fax_number": "909-335-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E OLIVE AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735250",
            "telephone_number": "909-335-2018",
            "fax_number": "909-335-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRID E TRENKLE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRENKLE",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "909-335-2018",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G27162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.