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

Brian Ichwan

Individual provider Emergency Medicine Physician · NPI 1457748287

Brian Ichwan is an Emergency Medicine in Duarte, California. Graduated from Ohio State University College of Medicine in 2015, 11 years ago. Practices with Cep America - California, a 1,267-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Trained at
Ohio State University College of Medicine
Licensed in
CA
In the registry since
2015
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Practice location Address checks out

939 Swiss Trl
Duarte, CA 91010-2181
Phone: (626) 429-7036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A143753 (CA)

Record details

NPI number1457748287
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 20, 2015
Last updated in NPPESSeptember 11, 2018
Mailing address939 Swiss Trl, Duarte, CA 91010-2181

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Duarte