Evette Renee Ingram

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

1581 E Colorado Blvd
Pasadena, CA 91106-2132

Phone

(626) 639-3077

NPI assigned

May 17, 2020

Last updated

Jul 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1589673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1831711498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062132",
            "telephone_number": "818-220-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062132",
            "telephone_number": "626-639-3077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8378 Topanga Canyon Blvd # B",
            "address_purpose": "LOCATION",
            "city": "West Hills",
            "state": "CA",
            "postal_code": "913042344",
            "country_code": "US",
            "telephone_number": "818-564-4567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18604 Ventura Blvd",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913564104",
            "country_code": "US",
            "telephone_number": "818-481-4118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "EVETTE",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-17",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Raymond Ing
• Michelle Ing
• Tyana Ingram, LCSW
• William L Ingram, DDS
• Angelita Iniguez
• Linda E Iniguez
• Inizio Interventions, Inc.

• Durable Medical Equipment & Medical Supplies in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.