Active NPI
Emmanuel O Emenike, M.D.
- Internal Medicine Physician
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A92212
- Practice address
- 9025 Wilshire Blvd Ste 202
Beverly Hills, CA 90211-1825 - Phone
- (949) 409-5482
- NPI assigned
- Sep 28, 2005
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A92212 | CA | Primary |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | A92212 | CA | |
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | A92212 | CA | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | A92212 | CA | |
| Pediatrics Physician | 208000000X | A92212 | CA | |
| Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | 2081P0301X | A92212 | CA | |
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 2081N0008X | A92212 | CA | |
| Spinal Cord Injury Medicine Physician | 2081P0004X | A92212 | CA |
Addresses
Primary practice location
9025 Wilshire Blvd Ste 202
Beverly Hills, CA 90211-1825
Mailing address
11693 San Vicente Blvd # 112
Los Angeles, CA 90049-5105
Phone (949) 409-5482
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A92212 | CA | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Specialists of California, PC | Internal Medicine | Current | Accepting new patients |
| MD Solutions Medical Corp | Current | Accepting new patients | |
| Southern California Healthcare System, Inc | Past | Accepting new patients | |
| Nobels Neurodiagnostic Medical Group Inc. | Past | Accepting new patients | |
| Southern California Healthcare System, Inc | Past | Accepting new patients | |
| Bridgeport Hospital | Past | Accepting new patients | |
| The Regents of the University of California | Past | Accepting new patients | |
| Antelope Valley Health Care District | Past | Accepting new patients |
Locations
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
15477 Ventura Blvd
Ste 100
Sherman Oaks, CA 91403
Phone (818) 906-2141
28049 Smyth Dr
Valencia, CA 91355
Phone (661) 705-9706
8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291
Interoperability endpoints
- emmanuel.emenike@1197.securemail.prognocis.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Sebastian Hospice Care Inc | Hospice | 5% Or Greater Direct Ownership Interest (49%) | Jun 21, 2021 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Simi Valley, CA
- NPI 1548596679
5% Or Greater Direct Ownership Interest
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
-
- Dermatology Physician
- Sherman Oaks, CA
- NPI 1902837735
-
- General Acute Care Hospital
- Lancaster, CA
- NPI 1366419517
-
- Preferred Provider Organization
- Mission Hills, CA
- NPI 1326225798
-
- General Acute Care Hospital
- Hollywood, CA
- NPI 1023010113
-
- Psychiatric Hospital Unit
- Culver City, CA
- NPI 1487905725
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
-
- Psychiatric Hospital Unit
- Bridgeport, CT
- NPI 1609928134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1770570442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11693 SAN VICENTE BLVD # 112",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495105",
"telephone_number": "949-409-5482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9025 WILSHIRE BLVD STE 202",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902111825",
"telephone_number": "949-409-5482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMENIKE",
"first_name": "EMMANUEL",
"middle_name": "O",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-28",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A92212",
"primary": true
},
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "CA",
"license": "A92212",
"primary": false
},
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "CA",
"license": "A92212",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "CA",
"license": "A92212",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A92212",
"primary": false
},
{
"code": "2081P0301X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
"state": "CA",
"license": "A92212",
"primary": false
},
{
"code": "2081N0008X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
"state": "CA",
"license": "A92212",
"primary": false
},
{
"code": "2081P0004X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "CA",
"license": "A92212",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
- Shirley Wintfred Elzinga, D.C., L.AC., CRNA
- Claudia Nazanin Emami, M.D.
- Emana Medical
- Emanuel Gottlieb, DDS Inc, a Professional Dental Corporation
- Embodiment Psychology Group a Professional Corporation
- Emergency Department Services
- Emergency Room Services PC
- Emergency Specialists
- Emergency Surgical Assistants Inc
- Christopher Emerson, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.