Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Basil O Ike Jr.

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1114553146

Basil O Ike Jr. is a Family Practice in Orange, California. Qualified in 2020, 6 years ago. Practices with Regents of the University Of, a 30-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020

Practice location Address checks out

101 The City Dr S
Orange, CA 92868-3201
Phone: (999) 999-9999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 20A19702 (CA)

Record details

NPI number1114553146
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2020
Last updated in NPPESMay 10, 2026
Certification dateMay 10, 2026
Mailing address200 S Manchester Ave Ste 835, Orange, CA 92868-3213

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Regents Of The University Of — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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