MARC DAVID IKEDA (NPI# 1083872196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083872196 |
| Entity Type | Individual |
| Full Name | MARC DAVID IKEDA |
| Credential | M.D. |
| Practice Address |
6600 Bruceville Rd Mob 3 - Suite 233 Sacramento CA 95823-4671 |
| Practice Telephone | 9166277500 |
| Enumeration Date | 2008-05-26 |
| Last Update Date | 2015-03-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | A105562 | CA | Allopathic & Osteopathic Physicians |
| N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
MT200406 | PA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | A105562 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
6600 BRUCEVILLE RD MOB 3 - SUITE 233 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-4671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254295 | Lon Jacobus Taff | Obstetrics & Gynecology | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2005-09-08 |
| 1770195232 | Alexi Taylor Spoto | Pharmacist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-08-17 |
| 1134747306 | Poline Chhun Engeman X | Nurse Practitioner | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-07-13 |
| 1659904365 | Regan Watson | Nurse Practitioner | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-02-20 |
| 1740813443 | Caitlin Elizabeth Galvez | Physical Therapist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-02-20 |
| 1750912119 | Maria Monserrat Perez | Registered Nurse | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-02-03 |
| 1699312645 | Kayla Renee Hazel | Speech-Language Pathologist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2019-12-09 |
| 1366087553 | Michelle Schiltz | Registered Nurse | 6600 Bruceville Rd, Sacramento, CA 95823 | 2019-11-12 |
| 1013564145 | Katheirne Anne Lloyd | Dietitian, Registered | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2019-08-22 |
| 1699320077 | Sarah Lackey | Physical Therapist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2019-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992247134 | Macey Dennis | Allergy & Immunology | 549 Southgate Rd, Sacramento, CA 95815-3714 | 2016-11-04 |
| 1306118294 | Mountainside Allergy and Immunology Group | Allergy & Immunology | 4801 J St Ste B, Sacramento, CA 95819-3746 | 2012-02-07 |
| 1407880719 | Pulmonary Medicine Associates Medical Group, Inc | Allergy & Immunology | 1300 Ethan Way, Suite 600, Sacramento, CA 95825-2211 | 2006-07-10 |
| 1952531030 | Neil G. Parikh | Allergy & Immunology | 5609 J Street, Suite C, Sacramento, CA 95819 | 2009-07-22 |
| 1083748685 | Ali Amirzadeh | Allergy & Immunology | 3000 Q St Fl 2, Sacramento, CA 95816-7058 | 2007-03-15 |
| 1598843252 | Christopher Jakle | Allergy & Immunology | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2006-11-01 |
| 1518045285 | Efraim Lavi | Allergy & Immunology | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2006-11-01 |
| 1487732129 | Gordon Garcia | Allergy & Immunology | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2006-11-01 |
| 1669550158 | Stamatiki S. Coss | Allergy & Immunology | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2006-11-01 |
| 1902814056 | Robert D. Watson | Allergy & Immunology | 3160 Folsom Blvd, Sacramento, CA 95816-5219 | 2006-08-04 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.