Provider Demographics
NPI:1245121037
Name:PIKEMED LLC
Entity type:Organization
Organization Name:PIKEMED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OP
Authorized Official - Prefix:
Authorized Official - First Name:IKE
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:OKONJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-309-4480
Mailing Address - Street 1:12612 INGLEWOOD AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-4272
Mailing Address - Country:US
Mailing Address - Phone:424-309-4480
Mailing Address - Fax:
Practice Address - Street 1:12612 INGLEWOOD AVE APT 4
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-4272
Practice Address - Country:US
Practice Address - Phone:424-309-4480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347B00000XTransportation ServicesBus
No347E00000XTransportation ServicesTransportation Broker
No174200000XOther Service ProvidersMeals
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization