Active NPI
Meridian Health Systems, P.C.
- Cardiovascular Disease Physician
- Los Angeles, CA
National Provider Identifier
1538462908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A43519
- Legal business name
- MERIDIAN HEALTH SYSTEMS, P.C.
- Doing business as
- none
- Practice address
- 4127 W 62ND St
Los Angeles, CA 90043-3612 - Phone
- (866) 767-4832
- Fax
- (310) 693-8082
- NPI assigned
- Dec 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony C Dike, M.D.
- Title
- Medical Director
- Phone
- (323) 345-1176
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A43519 | CA | Primary |
Addresses
Primary practice location
4127 W 62ND St
Los Angeles, CA 90043-3612
Mailing address
4127 W 62ND St
Los Angeles, CA 90043-3612
Phone (323) 345-1176
Other names 1
- none
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294012800000",
"number": "1538462908",
"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": "323-345-1176",
"fax_number": "310-693-8082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4127 W 62ND ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900433612",
"telephone_number": "866-767-4832",
"fax_number": "310-693-8082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERIDIAN HEALTH SYSTEMS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-07",
"last_updated": "2011-01-03",
"status": "A",
"authorized_official_last_name": "DIKE",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "323-345-1176",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A43519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "none",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.