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

Ike Lenard Davis Jr.

Individual provider Community Health Worker · NPI 1023764594

Ike Lenard Davis Jr. is a Community Health Worker in Vallejo, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
3

Practice location Address checks out

160 Glen Cove Marina Rd E Ste 102
Vallejo, CA 94591-7290
Phone: (707) 648-2000
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 18224 (CA)
Community Health Worker Taxonomy 172V00000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1023764594
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 23, 2022
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024
Mailing address160 Glen Cove Marina Rd E Ste 102, Vallejo, CA 94591-7290

Other providers in Vallejo