Ingrid N Wahjudi (NPI# 1528479342, PAC ID# 5294066338) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1528479342 |
| PAC ID by PECOS | 5294066338 |
| Professional Enrollment ID | I20191003003279 |
| Full Name | Ingrid N Wahjudi |
| Organization Legal Name | DIGNITY HEALTH MEDICAL FOUNDATION |
| Address |
2081 Bronze Star Dr Woodland CA 95776-5423 |
| Phone Number | 5306682600 |
| Gender | F |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 7810800661 |
| Number of Group Practice Members | 1116 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050017 | MERCY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 5306682600 | DIGNITY HEALTH MEDICAL FOUNDATION |
| Organization Legal Name | DIGNITY HEALTH MEDICAL FOUNDATION |
| Physicians | 1191 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel E Temple | Family Medicine | Dignity Health Medical Foundation | 1779 Dominican Way, Suite B, Santa Cruz, CA 95065-1526 |
| Lei Wang | Rheumatology | Dignity Health Medical Foundation | 2081 Bronze Star Dr, Woodland, CA 95776-5423 |
| Guillermina Lexie Morales | Obstetrics/gynecology | Dignity Health Medical Foundation | 1321 Cottonwood St, Fl 3, Woodland, CA 95695-5131 |
| Thu Trang Le | Nurse Practitioner | Dignity Health Medical Foundation | 782 E Harding Way, Stockton, CA 95204-6101 |
| Shannon Lyn Manley | Nurse Practitioner | Dignity Health Medical Foundation | 3900 Piedmont Ave, Oakland, CA 94611-5352 |
| Etelberto Guzman | Clinical Social Worker | Dignity Health Medical Foundation | 1207 Fairchild Ct, Woodland, CA 95695-4321 |
| Daniel James Greene | Urology | Dignity Health Medical Foundation | 1667 Dominican Way, Suite 234, Santa Cruz, CA 95065-1560 |
| Azadeh Toofaninejad | Cardiovascular Disease (cardiology) | Dignity Health Medical Foundation | 9394 Big Horn Blvd, Elk Grove, CA 95758-7977 |
| Kathleen C Hilton | Nurse Practitioner | Dignity Health Medical Foundation | 13350 Big Basin Way, Boulder Creek, CA 95006-9237 |
| Ibrahim W Azer | General Surgery | Dignity Health Medical Foundation | 315 Mercy Ave, Suite 400, Merced, CA 95340-8368 |
| Street Address |
2081 BRONZE STAR DR |
| City | WOODLAND |
| State | CA |
| Zip | 95776-5423 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lei Wang | Rheumatology | Dignity Health Medical Foundation | 2081 Bronze Star Dr, Woodland, CA 95776-5423 |
| My Pham | Family Medicine | Dignity Health Medical Foundation | 2081 Bronze Star Dr, Woodland, CA 95776-5423 |
| Thomas D Wendel | Internal Medicine | Dignity Health Medical Foundation | 2081 Bronze Star Dr, Woodland, CA 95776-5423 |
| Kayla Medina | Nurse Practitioner | Dignity Health Medical Foundation | 2081 Bronze Star Dr, Woodland, CA 95776-5423 |
| Gurpreet Kaur Malhi | Nurse Practitioner | Dignity Health Medical Foundation | 2081 Bronze Star Dr, Woodland, CA 95776-5423 |
| Paige D Radell | Dermatology | Dignity Health Medical Foundation | 2081 Bronze Star Dr, Woodland, CA 95776-5423 |
| Marcia J Gollober | Family Medicine | Dignity Health Medical Foundation | 2081 Bronze Star Dr, Woodland, CA 95776-5423 |
| Minzi Chen | Rheumatology | Dignity Health Medical Foundation | 2081 Bronze Star Dr, Woodland, CA 95776-5423 |
| Samuel M Siegel | Pediatric Medicine | Dignity Health Medical Foundation | 2081 Bronze Star Dr, Woodland, CA 95776-5423 |
| Sheetal D Sran | Pediatric Medicine | Dignity Health Medical Foundation | 2081 Bronze Star Dr, Woodland, CA 95776-5423 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Koo | Physical Therapy | Sutter Valley Medical Foundation | 475 Pioneer Ave, Woodland, CA 95776-4905 |
| Elizabeth Ann Canevari | Physical Therapy | Sutter Valley Medical Foundation | 475 Pioneer Ave, Woodland, CA 95776-4905 |
| Jana D Hay | Family Medicine | Sutter Valley Medical Foundation | 475 Pioneer Ave, Woodland, CA 95776-4905 |
| Rashida Parween | Family Medicine | Sutter Valley Medical Foundation | 475 Pioneer Ave, Woodland, CA 95776-4905 |
| Susana Brambila | Physical Therapy | Sutter Valley Medical Foundation | 475 Pioneer Ave, Woodland, CA 95776-4905 |
| Claudia P Galli | Family Medicine | Sutter Valley Medical Foundation | 475 Pioneer Ave, Woodland, CA 95776-4905 |
| Julie Ann Benzing | Physical Therapy | Sutter Valley Medical Foundation | 475 Pioneer Ave, Woodland, CA 95776-4905 |
| John B Thomson | Family Medicine | Sutter Valley Medical Foundation | 475 Pioneer Ave, Woodland, CA 95776-4905 |
| Stephanie S Mack | Physical Therapy | Sutter Valley Medical Foundation | 475 Pioneer Ave, Suite 400, Woodland, CA 95776-4905 |
| Katherine A Murray | Physical Therapy | Sutter Valley Medical Foundation | 475 Pioneer Ave, Woodland, CA 95776-4905 |
| Find all physicians in zip 95776 | |||
| City | WOODLAND |
| Zip Code | 95776 |
| Specialty | DERMATOLOGY |
| City + Specialty | WOODLAND + DERMATOLOGY |
Please comment or provide details below to improve the information on Ingrid N Wahjudi.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.