Mr. Jesse Ingram Jr., PA-C
Mr. Jesse Ingram Jr., PA-C is a Physician Assistant in Fontana, California. Qualified in 1994, 32 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 32
- Licensed in
- CA
- In the registry since
- 2007
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
9985 Sierra AveFontana, CA 92335-6720
Phone: (909) 427-5525
Fax: (909) 427-7602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence PA13419 (CA) |
|---|
Record details
| NPI number | 1851512560 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | May 1, 2007 |
| Last updated in NPPES | November 29, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1994 (32 years in practice) |
| Group practice | Southern California Permanente Medical Group — 11242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Fontana
-
Lisa Bodzio, PA-C
9985 Sierra Ave, Fontana, CA 92335-6720 · (909) 427-5000
-
MS. Carlette Spengler Kolesnik, PA-C
9961 Sierra Ave, Fontana, CA 92335-6720 · (909) 427-5402