Ilena J. Blicker, MD, AMC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G19424 Issued in CA

Legal business name

ILENA J. BLICKER, MD, AMC

Practice address

435 Arden Ave
540
Glendale, CA 91203-1130

Phone

(818) 240-1677

Fax

(818) 240-0147

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ilena Joyce Blicker, M.D.NPI 1992778864

Title

President

Phone

(818) 240-1677

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ilena Joyce Blicker, M.D.

  • Neurology Physician
  • Glendale, CA
  • NPI 1992778864
  NPD (past) Authorized official

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730308750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE",
            "address_2": "540",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031130",
            "telephone_number": "818-240-1677",
            "fax_number": "818-240-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE",
            "address_2": "540",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031130",
            "telephone_number": "818-240-1677",
            "fax_number": "818-240-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILENA J. BLICKER, MD, AMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLICKER",
        "authorized_official_first_name": "ILENA",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-240-1677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G19424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ma Nyzza Ignacio, DMD
• Gagik Ignatenko
• Ikenna Nwachuku, MD, Inc.
• Ilab Management, Inc.
• Ilan Healthcare Group, Inc.
• Immaculate Home Care, Inc.
• Immaculate Hospice Care Services, Inc
• Imperial Home Health Care, Inc.
• In Her Legacy
• In the Family Way Doula Services LLC

• Neurology Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.