Active NPI
Haruka Ikeda
- Physical Therapy Assistant
- El Cajon, CA
National Provider Identifier
1528952173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 53970
- Practice address
- 353 E Park Ave Ste 104
El Cajon, CA 92020-3944 - Phone
- (619) 334-4294
- NPI assigned
- Jun 6, 2025
- Last updated
- Jun 6, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 53970 | CA | Primary |
Addresses
Primary practice location
353 E Park Ave Ste 104
El Cajon, CA 92020-3944
Mailing address
353 E Park Ave Ste 104
El Cajon, CA 92020-3944
Phone (619) 334-4294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53970 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1528952173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 E PARK AVE STE 104",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920203944",
"telephone_number": "619-334-4294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 E PARK AVE STE 104",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920203944",
"telephone_number": "619-334-4294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKEDA",
"first_name": "HARUKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-06",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "53970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Cajon, CA
- Leeann Marie Medinger Ibarra, M.A. CCC-SLP
- Mais Ibraheem
- Lorriane Ichiyasu
- Fredrick W. Ihler, LCSW
- Hardy Ijomah
- Ilife Group Inc
- Independent Diagnostic Tests Inc (Idt)
- Inglewood Community Adhc (Magnolia Adult Day Health Care)
- Ramon Iniguez, RN
- Institute of Behavioral Sciences and Technology Family Counseling P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.