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MARC DAVID IKEDA M.D. NPI 1083872196


NPI Information

NPI: 1083872196
Provider Name: MARC DAVID IKEDA, M.D.
Classification: Allergy & Immunology - 207K00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
6600 BRUCEVILLE RD
MOB 3 - SUITE 233
SACRAMENTO, CA
ZIP 95823
Phone: (916) 627-7500
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Marc David Ikeda, M.D. is an allergy immunology in Sacramento, CA with 17 years of experience. The provider is 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. Marc David Ikeda, M.D. NPI is 1083872196. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2007

The provider's business location address is:

6600 BRUCEVILLE RD
MOB 3 - SUITE 233
SACRAMENTO, CA
ZIP 95823-671
Phone: (916) 627-7500

The NPI 1083872196 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/26/2008 and was last updated on 2/11/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsA105562CALIFORNIANo
2207KA0200XAllergy & ImmunologyAllergyMT200406PENNSYLVANIANo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
4207K00000XAllergy & ImmunologyA105562CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.