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

Individual provider Licensed Vocational Nurse · NPI 1881164515

Idris Adelaja Mustapha is a Licensed Vocational Nurse in Fresno, California. Practices as a sole proprietor and works from 6 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

4411 E Cesar Chavez Blvd
Fresno, CA 93702-3604
Phone: (559) 453-1008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 3127 N Millbrook Ave, Fresno, CA 93703-1425 — (559) 453-1008
  • 3147 N Millbrook Ave, Fresno, CA 93703-1425 — (559) 453-1008
  • 3133b N Millbrook Ave, Fresno, CA 93703-1425 — (559) 453-1008
  • 3520 E Shields Ave Ste 102, Fresno, CA 93726-6923 — (559) 538-1230
  • 40 E Minarets Ave, Pinedale, CA 93650-1239 — (855) 343-1057

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 95322823 (CA)
Licensed Vocational Nurse Taxonomy 164X00000X · Licence 697594 (CA)

Record details

NPI number1881164515
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 26, 2018
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024

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