Organization Active NPI

Ingham Healthcare a Professional Corporation

  • Internal Medicine Physician
  • Campbell, CA
National Provider Identifier
1952911315
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INGHAM HEALTHCARE A PROFESSIONAL CORPORATION
Practice address
1999 S Bascom Ave Ste 1020
Campbell, CA 95008-2206
Phone
(650) 722-2611
NPI assigned
Jul 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Authorized official

Name
Maxine B Ingham, MD
Title
Partner
Phone
(702) 227-6947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1999 S Bascom Ave Ste 1020
Campbell, CA 95008-2206

Mailing address

1821 S Bascom Ave Ste 383
Campbell, CA 95008-2309
Phone (650) 722-2611

National Provider Directory

National Provider Directory

Locations

1999 S Bascom Ave
Ste 1020
Campbell, CA 95008
Phone (650) 722-2611

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1952911315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 S BASCOM AVE STE 383",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082309",
            "telephone_number": "650-722-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 S BASCOM AVE STE 1020",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082206",
            "telephone_number": "650-722-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGHAM HEALTHCARE A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "INGHAM",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "702-227-6947",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.