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

Ikenna Ndubuisi Nwosu, MD

Individual provider Family Medicine Physician · NPI 1629604574

Ikenna Ndubuisi Nwosu, MD is a Family Practice in Fresno, California. Qualified in 2011, 15 years ago. Practices with Clinica Sierra Vista, a 184-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2020
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

2740 S Elm Ave
Fresno, CA 93706-5435
Phone: (559) 457-5200
Fax: (559) 457-5296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A182752 (CA)

Record details

NPI number1629604574
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2020
Last updated in NPPESJuly 24, 2023
Certification dateJuly 24, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Clinica Sierra Vista — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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