Active NPI
Ingham Healthcare a Professional Corporation
- Internal Medicine Physician
- Campbell, CA
National Provider Identifier
1952911315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
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.