MR. JESSE INGRAM PA-C NPI 1851512560

NPI Information

  • NPI: 1851512560
  • Provider Name: MR. JESSE INGRAM, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9985 SIERRA AVE
    FONTANA, CA
    ZIP 92335
  • Phone: (909) 427-5525

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NPI Details

MR. Jesse Ingram, PA-C is a surgical physician assistant in Fontana, CA with 32 years of experience. MR. Jesse Ingram, PA-C NPI is 1851512560. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9985 SIERRA AVE
FONTANA, CA
ZIP 92335-720
Phone: (909) 427-5525
Fax: (909) 427-7602

The NPI 1851512560 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 11/29/2021.

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
1363AS0400XPhysician AssistantSurgicalPA13419CALIFORNIAYes

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: 11/21/2025

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