Individual provider Active NPI

Anthony C Dike, MD

  • Internal Medicine Physician
  • Torrance, CA
National Provider Identifier
1003858481
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A043519 Issued in CA
Practice address
20280 S Vermont Ave Ste 215
Torrance, CA 90502-1344
Phone
(323) 434-4626
Fax
(310) 693-8082
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A43519 CA
Internal Medicine Physician 207R00000X A043519 CA Primary

Addresses

Primary practice location

20280 S Vermont Ave Ste 215
Torrance, CA 90502-1344

Mailing address

4127 W 62ND St
Los Angeles, CA 90043-3612
Phone (323) 252-2784

Other identifiers 1

IdentifierTypeStateIssuer
GR0043390MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050909000929 CA Practitioner - Internal MedicinePractitioner - Osteopathic Manipulative Medicine 8527051127 Reassigns benefits to 1 organization
I20111006000630 FL Practitioner - Internal Medicine 8527051127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A043519CAMDInternal Medicine Physician
A43519CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of State Hospitals Current Accepting new patients
Department of State Hospitals CurrentSince Nov 19, 2017 Accepting new patients
Department of State Hospitals CurrentSince Nov 19, 2017 Accepting new patients

Locations

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1003858481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4127 W 62ND ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900433612",
            "telephone_number": "323-252-2784",
            "fax_number": "866-467-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20280 S VERMONT AVE STE 215",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021344",
            "telephone_number": "323-434-4626",
            "fax_number": "310-693-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIKE",
        "first_name": "ANTHONY",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A43519",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A043519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0043390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.