ANGELA I INGENDAAY M D PROFESSIONAL CORPORATION
NPI 1770188252
General Practice in Grass Valley, CA

Q: What is Angela I Ingendaay M D Professional Corporation's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since December 02, 2020

150 S AUBURN ST, GRASS VALLEY, CA 95945(530) 559-1342(530) 692-7020 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 17, 2021, Dec 2, 2020 (2 updates tracked since 2020).

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About Angela I Ingendaay M D Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA I INGENDAAY M D PROFESSIONAL CORPORATION (NPI 1770188252) is a healthcare organization registered as a general practice in Grass Valley, California and active in the NPI registry since December 2020. The organization maintains a secondary practice location in Oregon House and lists Angela I Ingendaay, Ceo/md, as its authorized official.

NPPES Registry Identity

NPI1770188252

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameANGELA I INGENDAAY M D PROFESSIONAL CORPORATION

Location Address150 S AUBURN STGrass Valley, CA 95945-6576

Mailing AddressPo Box 856Oregon House, CA 95962-0856 · (530) 559-1342 · Fax (530) 692-7020

Phone(530) 559-1342

Fax(530) 692-7020

Organization SubpartNo

Authorized OfficialAngela I IngendaayCeo/md · (530) 559-1342

Enumeration DateDecember 2, 2020

Last NPPES UpdateJune 9, 20262 updates tracked since enumeration

NPPES CertifiedJune 9, 2026

✔ NPI 1770188252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

150 S AUBURN ST, Grass Valley, CA 95945

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Secondary Practice Location 1

Location 19676 Artemis CourtOregon House, CA 95962 · Phone (530) 559-1342 · Fax (530) 692-7070

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela I Ingendaay M D Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Angela I Ingendaay M D Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Angela Ingendaay, M.D.

General Practice

NPI 1952461295

150 S AUBURN ST
Grass Valley, CA 95945

(530) 272-0537

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela I Ingendaay M D Professional Corporation's NPI number?

The NPI number for Angela I Ingendaay M D Professional Corporation is 1770188252. It was assigned to this organization in the NPPES registry on December 2, 2020.

Where is Angela I Ingendaay M D Professional Corporation located?

Angela I Ingendaay M D Professional Corporation is located at 150 S Auburn St, Grass Valley, CA 95945. The listed phone number is (530) 559-1342.

What is Angela I Ingendaay M D Professional Corporation's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Angela I Ingendaay M D Professional Corporation enrolled in Medicare?

Yes. Angela I Ingendaay M D Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Angela I Ingendaay M D Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Angela I Ingendaay M D Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Angela I Ingendaay M D Professional Corporation was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.