Organization Active NPI

Emily Iker, M.D., Inc

  • Physical Therapist
  • Santa Monica, CA
National Provider Identifier
1124321443
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
A45832 Issued in CA
Legal business name
EMILY IKER, M.D., INC
Practice address
2021 Santa Monica Blvd Ste 620E
Santa Monica, CA 90404-2169
Phone
(310) 829-7472
Fax
(310) 829-2286
NPI assigned
Dec 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Authorized official

Name
Dr. Emily Iker, M.D.NPI 1801861463
Title
Owner
Phone
(310) 829-7472

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X A45832 CA Primary

Addresses

Primary practice location

2021 Santa Monica Blvd Ste 620E
Santa Monica, CA 90404-2169

Mailing address

2021 Santa Monica Blvd Ste 620E
Santa Monica, CA 90404-2169
Phone (310) 829-7472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101209000060 CA Part B Supplier - Clinic/Group Practice 4789871328 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Monica, CA

National Provider Directory

National Provider Directory
Tax ID family
Emily Iker MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1124321443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD STE 620E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042169",
            "telephone_number": "310-829-7472",
            "fax_number": "310-829-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD STE 620E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042169",
            "telephone_number": "310-829-7472",
            "fax_number": "310-829-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY IKER, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "IKER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-829-7472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "A45832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.