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

Ikramah Latif

Individual provider Hospitalist Physician · NPI 1407437650

Ikramah Latif is an Osteopathic Manipulative Medicine in San Diego, California. Graduated from Touro Un College of Osteopathic Medicine, Vallejo in 2021, 5 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Trained at
Touro Un College of Osteopathic Medicine, Vallejo
Licensed in
CA
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

1601 Precision Park Ln
San Diego, CA 92173-1345
Phone: (619) 662-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 — (310) 453-1324

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 21327 (CA)
Hospitalist Physician Taxonomy 208M00000X · Licence 21327 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1407437650
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2021
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024

Medicare enrollment

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

Medicare specialtyOSTEOPATHIC MANIPULATIVE MEDICINE
Also practisesINTERNAL MEDICINE
Medical schoolTOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduated 2021 (5 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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