Ingham Healthcare A Professional Corporation | |
1999 S Bascom Ave Ste 1020 Campbell CA 95008-2206 | |
(650) 722-2611 | |
Not Available |
Full Name | Ingham Healthcare A Professional Corporation |
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Speciality | Internal Medicine |
Location | 1999 S Bascom Ave Ste 1020, Campbell, California |
Authorized Official Name and Position | Maxine B Ingham (PARTNER) |
Authorized Official Contact | 7022276947 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ingham Healthcare A Professional Corporation 1821 S Bascom Ave Ste 383 Campbell CA 95008-2309 Ph: (650) 722-2611 | Ingham Healthcare A Professional Corporation 1999 S Bascom Ave Ste 1020 Campbell CA 95008-2206 Ph: (650) 722-2611 |
NPI Number | 1952911315 |
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Provider Enumeration Date | 07/31/2020 |
Last Update Date | 08/06/2020 |
Medicare PECOS PAC ID | 9830516210 |
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Medicare Enrollment ID | O20200831001722 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952911315 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Maxine B Ingham |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1730294455 PECOS PAC ID: 8325014541 Enrollment ID: I20050316001086 |
Provider Name | Brian M Grimm |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871540815 PECOS PAC ID: 2264423003 Enrollment ID: I20051123000496 |
Provider Name | Michael Phillips |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1013927771 PECOS PAC ID: 8426093741 Enrollment ID: I20081229000260 |
Provider Name | Neil S Kline |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497752166 PECOS PAC ID: 0345278123 Enrollment ID: I20090824000286 |
Provider Name | Steve Lin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568783736 PECOS PAC ID: 6709015209 Enrollment ID: I20140203001341 |
Provider Name | Frances T Prado |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700120631 PECOS PAC ID: 1658676218 Enrollment ID: I20160219001858 |
Provider Name | Edward A Delos Trino |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346773306 PECOS PAC ID: 2163793951 Enrollment ID: I20170814001035 |
Provider Name | Malinda Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982114625 PECOS PAC ID: 5092062828 Enrollment ID: I20180724003481 |
Provider Name | Elizabeth M Simon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942217153 PECOS PAC ID: 3779532569 Enrollment ID: I20201228001446 |
Provider Name | Esmaeel Rahmani |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679954770 PECOS PAC ID: 1052674272 Enrollment ID: I20210125002435 |
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