Active NPI
Andrew Inglis, M.D.
- Psychiatry Physician
- Santa Ana, CA
National Provider Identifier
1902860778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G73377
- Practice address
- 401 W Civic Center Dr RM 617B
Santa Ana, CA 92701-4515 - Phone
- (714) 850-8402
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036-075456 | IL | |
| Psychiatry Physician | 2084P0800X | G73377 | CA | Primary |
Addresses
Primary practice location
401 W Civic Center Dr RM 617B
Santa Ana, CA 92701-4515
Mailing address
3115 Red Hill Ave
Costa Mesa, CA 92626-4517
Phone (714) 850-8463
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OOG733771 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-075456 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Orange | Current | Accepting new patients |
Locations
23228 Madero
Mission Viejo, CA 92691
Phone (949) 454-3940
Organizations & group practices 1
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.
-
dba Health Care Agency
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Ana, CA
- NPI 1104963347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1902860778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 RED HILL AVE",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926264517",
"telephone_number": "714-850-8463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W CIVIC CENTER DR RM 617B",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014515",
"telephone_number": "714-850-8402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGLIS",
"first_name": "ANDREW",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036-075456",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G73377",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OOG733771",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.