CATHRYN DIANE INGRAM PA NPI 1265434385

NPI Information

NPI: 1265434385
Provider Name: CATHRYN DIANE INGRAM, PA
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
138 W MAIN ST
SUITE E, F, G
VENTURA, CA
ZIP 93001
Phone: (805) 667-2850
Get Directions

Cathryn Diane Ingram, PA is a family nurse practitioner in Ventura, CA. Cathryn Diane Ingram, PA NPI is 1265434385. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

138 W MAIN ST
SUITE E, F, G
VENTURA, CA
ZIP 93001-584
Phone: (805) 667-2850

The enumeration date for this NPI number is 6/1/2005 and was last updated on 12/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA13939	CALIFORNIA	No
2	363LF0000X	Nurse Practitioner	Family	RN CA326459, NP8826	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RHM18553H	MEDICAID	CALIFORNIA
2	95-1683892	OTHER	CALIFORNIA	OTHER INSURANCE
3	WPA13939D	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	PPIN
4	RHM08608F	MEDICAID	CALIFORNIA
5	RHM08609F	MEDICAID	CALIFORNIA
6	ZZT40394F	MEDICAID	CALIFORNIA
7	S51776	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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