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

Otis Perry Max Ingersoll, FNP

Individual provider Family Nurse Practitioner · NPI 1386838407

Otis Perry Max Ingersoll, FNP is a Family Nurse Practitioner in Albany, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

500 San Pablo Ave
Albany, CA 94706-1103
Phone: (510) 204-8130
Fax: (510) 524-0861
Show map & directions

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

Additional practice locations (1)

  • 2850 Telegraph Ave, Berkeley, CA 94705-1192 — (510) 204-8110

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 14774 (CA)

Record details

NPI number1386838407
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 31, 2007
Last updated in NPPESFebruary 10, 2021
Certification dateFebruary 10, 2021

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