Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ingrid N Wahjudi, MD

Individual provider Dermatology Physician · NPI 1528479342

Ingrid N Wahjudi, MD is a Dermatology in Woodland, California. Graduated from Loma Linda University School of Medicine in 2014, 12 years ago. Practices with Dignity Health Medical Foundation, a 1,204-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

632 W Gibson Rd
Woodland, CA 95695-5169
Phone: (530) 668-2600
Fax: (530) 669-3638
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A145785 (CA)

Record details

NPI number1528479342
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 14, 2014
Last updated in NPPESAugust 7, 2020
Certification dateAugust 7, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Dignity Health Medical Foundation — 1204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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