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

Ibrahim Shakur

Individual provider Community Health Worker · NPI 1114692530

Ibrahim Shakur is a Community Health Worker in Stockton, California. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1212 N California St
Stockton, CA 95202-1552
Phone: (209) 468-0103
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1114692530
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 9, 2021
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 14, 2024
Mailing address1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380

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