Individual provider Active NPI

Angela Ingendaay, M.D.

  • General Practice Physician
  • Grass Valley, CA
National Provider Identifier
1952461295
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A52909 Issued in CA
Practice address
150 S Auburn St
Grass Valley, CA 95945-6576
Phone
(530) 272-0537
NPI assigned
Dec 9, 2006
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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 A52909 CA Primary

Addresses

Primary practice location

150 S Auburn St
Grass Valley, CA 95945-6576

Mailing address

PO Box 856
Oregon House, CA 95962-0856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080428000460 CA Practitioner - General PracticePractitioner - Internal Medicine 4981782281 Reassigns benefits to 1 organization
Practice locations: Grass Valley, CA; Oregon House, CA

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

150 S Auburn St
Suite B3
Grass Valley, CA 95945-6528
Phone (530) 272-0537

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A52909CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Ingendaay, M.D., Professional Corporation Current Accepting new patients
Angela I Ingendaay M D Professional Corporation General Practice CurrentSince Dec 14, 2020 Accepting new patients
Western Sierra Medical Clinic, Inc. Past Accepting new patients
Back to Balance Physiotherapy PastSince Sep 30, 2018 Accepting new patients

Locations

150 S Auburn St
Grass Valley, CA 95945
Phone (530) 272-0537

150 S Auburn St
Ste 2B
Grass Valley, CA 95945
Phone (530) 272-0537

150 S Auburn St
Ste 3B
Grass Valley, CA 95945

150 S Auburn St
Ste B3
Grass Valley, CA 95945
Phone (530) 272-0537

Organizations & group practices 4

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1952461295",
    "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"
        },
        {
            "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": "530-272-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGENDAAY",
        "first_name": "ANGELA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-09",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A52909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.