Individual provider Active NPI

Antonio Ingente

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1902134232
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A37764 Issued in CA
Practice address
8455 Beverly Blvd Ste 302
Los Angeles, CA 90048-3421
Phone
(323) 653-3830
NPI assigned
Nov 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A37764 CA Primary

Addresses

Primary practice location

8455 Beverly Blvd Ste 302
Los Angeles, CA 90048-3421

Mailing address

8707 Ashcroft Ave
West Hollywood, CA 90048-1801
Phone (323) 653-3830

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

State licenses

LicenseStateTypeSpecialty
A37764CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Home Health Current Accepting new patients
Life Giving Home Health Current Accepting new patients
Victoria Home Health Nursing Agency, Inc. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1902134232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8707 ASHCROFT AVE",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481801",
            "telephone_number": "323-653-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8455 BEVERLY BLVD STE 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483421",
            "telephone_number": "323-653-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGENTE",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-24",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A37764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.