Active NPI
Basil O Ike Jr.
- Sports Medicine (Family Medicine) Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 20A19702
- Practice address
- 101 The City Dr S
Orange, CA 92868-3201 - Phone
- (999) 999-9999
- NPI assigned
- Mar 21, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 20A19702 | CA | Primary |
Addresses
Primary practice location
101 The City Dr S
Orange, CA 92868-3201
Mailing address
200 S Manchester Ave Ste 835
Orange, CA 92868-3213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of California Irvine
Practice addresses (Care Compare)
101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-8068
2441 W la Palma Ave
Anaheim, CA 92801-2658
Phone (657) 282-6356
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.4 of 100
- Quality
- 93.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19702 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of | Current | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients |
Locations
2441 W La Palma Ave
Ste 100
Anaheim, CA 92801
Phone (657) 282-6356
2161 San Joaquin Hills Rd
Ste 100
Newport Beach, CA 92660
2161 San Joaquin Hills Rd
Newport Beach, CA 92660
Phone (949) 386-5700
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
200 S Manchester Ave
Ste 835
Orange, CA 92868
Phone (714) 456-8265
800 N Main St
Santa Ana, CA 92701
Phone (714) 456-6324
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UC Irvine Department of Family Medicine
- Family Medicine Physician
- Orange, CA
- NPI 1366590762
-
dba UCI Infusion Center
- Infusion Therapy Clinic/Center
- Irvine, CA
- NPI 1417027475
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of California Irvine - Cac Urgent Care
- Urgent Care Clinic/Center
- Irvine, CA
- NPI 1518739309
Hospital
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778371200000",
"number": "1114553146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S MANCHESTER AVE STE 835",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683213",
"fax_number": "800-465-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 THE CITY DR S",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683201",
"telephone_number": "999-999-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKE",
"first_name": "BASIL",
"middle_name": "O",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-21",
"last_updated": "2026-05-10",
"certification_date": "2026-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "CA",
"license": "20A19702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.