John Samuel Ikeda (NPI# 1215379268, PAC ID# 2365685690) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1215379268 |
| PAC ID by PECOS | 2365685690 |
| Professional Enrollment ID | I20130905000239 |
| Full Name | John Samuel Ikeda |
| Address |
8751 Valley View St Suite A Buena Park CA 90620-3566 |
| Phone Number | 7148277191 |
| Gender | M |
| Medical School | WESTERN UNIV OF HEALTH SCIENCES COL OF DENTAL MED, POMONA CA |
| Graduation Year | 2013 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 8751 Valley View St, Suite A, Buena Park, CA 90620-3566 | 7148277191 |
| Street Address |
8751 VALLEY VIEW ST SUITE A |
| City | BUENA PARK |
| State | CA |
| Zip | 90620-3566 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy B Lim | Physical Therapy | Dynamx Physical Therapy Inc A Physical Therapy Corporation | 7941 Beach Blvd, Suite J, Buena Park, CA 90620-1900 |
| Brent Mcmahon | Physical Therapy | Dynamx Physical Therapy Inc A Physical Therapy Corporation | 7941 Beach Blvd, Suite J, Buena Park, CA 90620-1900 |
| Salvatore J Plano | Chiropractic | 7921 Westren Ave, Suite F, Buena Park, CA 90620-2654 | |
| David Wong | Optometry | 8450 La Palma Ave, Buena Park, CA 90620-3210 | |
| Bahram Goshtasbi | Chiropractic | 8821 Valley View St, Buena Park, CA 90620-3528 | |
| Young-sik Cho | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of Orange County Inc | 8850 Valley View St, Buena Park, CA 90620-3562 |
| Mei-ling Lin | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of Orange County Inc | 8850 Valley View St, Buena Park, CA 90620-3562 |
| Jennifer C Santero | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of Orange County Inc | 8850 Valley View St, Buena Park, CA 90620-3562 |
| Hyejin Jeong | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of Orange County Inc | 8850 Valley View St, Buena Park, CA 90620-3562 |
| Mercedes Blasco Samson | General Practice | 8615 Knott Ave, Suite 3, Buena Park, CA 90620-3886 | |
| Find all physicians in zip 90620 | |||
| City | BUENA PARK |
| Zip Code | 90620 |
| Specialty | OPTOMETRY |
| City + Specialty | BUENA PARK + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.