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

Dr. Edidiong Nsidibe Ikpe, MD

Individual provider Internal Medicine Physician · NPI 1265684716

Dr. Edidiong Nsidibe Ikpe, MD is an Emergency Medicine in Reseda, California. Graduated from Yale University School of Medicine in 2005, 21 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group and accepts Medicare assignment. Licensed in California and Georgia.

Years since qualifying
21
Trained at
Yale University School of Medicine
Licensed in
CA, GA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7236 Amigo Ave
Reseda, CA 91335-8108
Phone: (203) 500-5317
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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 065466 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A99823 (CA)

Record details

NPI number1265684716
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 15, 2008
Last updated in NPPESApril 13, 2022
Certification dateApril 13, 2022

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Also practisesINTERNAL MEDICINE
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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