Active NPI
Anthony C Dike, MD
- Internal Medicine Physician
- Torrance, CA
National Provider Identifier
1003858481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A043519
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0043390 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A043519 | CA | MD | Internal Medicine Physician |
| A43519 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of State Hospitals | Current | Accepting new patients | |
| Department of State Hospitals | Current | Accepting new patients | |
| Department of State Hospitals | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.