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

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

Other providers in Orange