Active NPI
Angela I Ingendaay M D Professional Corporation
- General Practice Physician
- Grass Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- ANGELA I INGENDAAY M D PROFESSIONAL CORPORATION
- Practice address
- 150 S Auburn St
Grass Valley, CA 95945-6576 - Phone
- (530) 559-1342
- Fax
- (530) 692-7020
- NPI assigned
- Dec 2, 2020
- Last updated
- Jun 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Angela I Ingendaay, M.D.
- Title
- Ceo/MD
- Phone
- (530) 559-1342
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
150 S Auburn St
Grass Valley, CA 95945-6576
Mailing address
PO Box 856
Oregon House, CA 95962-0856
Phone (530) 559-1342
Other practice location 1
9676 Artemis Court
Oregon House, CA 95962
Phone (530) 559-1342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Angela I Ingendaay M D Professional Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Grass Valley, CA
- NPI 1487729828
Locations
150 S Auburn St
Ste B3
Grass Valley, CA 95945
Phone (530) 272-0537
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.
-
- General Practice Physician
- Grass Valley, CA
- NPI 1952461295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780963200000",
"number": "1770188252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 856",
"city": "OREGON HOUSE",
"state": "CA",
"postal_code": "959620856",
"telephone_number": "530-559-1342",
"fax_number": "530-692-7020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S AUBURN ST",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959456576",
"telephone_number": "530-559-1342",
"fax_number": "530-692-7020"
}
],
"practiceLocations": [
{
"address_1": "9676 Artemis Court",
"address_purpose": "LOCATION",
"city": "Oregon House",
"state": "CA",
"postal_code": "95962",
"country_code": "US",
"telephone_number": "530-559-1342",
"fax_number": "530-692-7070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ANGELA I INGENDAAY M D PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-02",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A",
"authorized_official_last_name": "INGENDAAY",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "CEO/MD",
"authorized_official_telephone_number": "530-559-1342",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.