ENOIDEM EKIKO NP
NPI 1124991963
Nurse Practitioner in Poway, CA

Q: What is Enoidem Ekiko's NPI number?

The NPI number for Enoidem Ekiko is 1124991963. It was assigned to this individual provider in the NPPES registry on September 26, 2025.

Q: What is Enoidem Ekiko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Enoidem Ekiko was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 26, 2025

12893 GLEN CIRCLE RD, POWAY, CA 92064(619) 564-0112 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Enoidem Ekiko Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENOIDEM EKIKO NP (NPI 1124991963) is an individual nurse practitioner in Poway, California, licensed in California (95033959) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1124991963

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameENOIDEM EKIKOCredential: NP

Location Address12893 GLEN CIRCLE RDPoway, CA 92064-2029

Mailing Address12893 Glen Circle RdPoway, CA 92064-2029 · (619) 564-0112

Phone(619) 564-0112

Sole ProprietorYes

Enumeration DateSeptember 26, 2025

NPPES CertifiedSeptember 26, 2025

✔ NPI 1124991963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95033959

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

12893 GLEN CIRCLE RD, Poway, CA 92064

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Enoidem Ekiko's NPI number?

The NPI number for Enoidem Ekiko is 1124991963. It was assigned to this individual provider in the NPPES registry on September 26, 2025.

Where is Enoidem Ekiko located?

Enoidem Ekiko practices at 12893 Glen Circle Rd, Poway, CA 92064. The listed phone number is (619) 564-0112.

What is Enoidem Ekiko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Enoidem Ekiko was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.