Individual provider

Alexandra Ingram, P.A.

Surgical Physician Assistant Physician Assistant Medical Physician Assistant Medicare enrolled

Alexandra Ingram, P.A. is a Surgical Physician Assistant in Walnut Creek, CA, registered under NPI 1063761500. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 355 LENNON LN SUITE 295, Walnut Creek, CA 94598. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

355 LENNON LN SUITE 295, Walnut Creek, CA 94598 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PA1466 AL Physician Assistant
PA.1466 AL Physician Assistant
PA9106852 FL Medical Physician Assistant

Licences are recorded in 2 states: AL, FL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
4385895952
Enrollment ID
I20230619001143

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Alabama and Florida. Multi-state licensure often means the provider works near a state border, covers more than one office, or delivers care by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

AL Alabama
Licence
PA1466
Specialty
Physician Assistant
Verify with the AL board →
FL Florida
Licence
PA9106852
Specialty
Medical Physician Assistant
Verify with the FL board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Surgical covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Surgical

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363AS0400X Surgical Physician Assistant Surgical primary
363A00000X Physician Assistant PA1466 AL
363A00000X Physician Assistant PA.1466 AL
363AM0700X Medical Physician Assistant Medical PA9106852 FL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063761500 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 30, 2012
Last updatedNov 26, 2024
StatusActive
Sole proprietorNo
CredentialP.A.
Practice address 355 LENNON LN
SUITE 295
Walnut Creek, CA 94598
(925) 357-9786
Fax (925) 217-7956
Other identifiers 007248400 · Medicaid (FL)
This record was updated on Nov 26, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1063761500 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 7 6 1 5 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 5 6 2 5 0

Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063761500?
NPI 1063761500 is the National Provider Identifier assigned to Alexandra Ingram, P.A. in Walnut Creek, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Surgical cover?
Definition to come...
How do I contact Alexandra Ingram, P.A.?
The phone number on file with NPPES is (925) 357-9786, last updated Nov 26, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Alexandra Ingram, P.A. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063761500 a valid number?
Yes. 1063761500 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.