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

Shaun Stark

Individual provider Community Health Worker · NPI 1861181711

Shaun Stark is a Community Health Worker in Ontario, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

2890 Inland Empire Blvd
Ontario, CA 91764-4649
Phone: (909) 233-7265
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1861181711
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 5, 2023
Last updated in NPPESMay 19, 2023
Certification dateMay 19, 2023
Mailing address2890 Inland Empire Blvd, Ontario, CA 91764-4649

Other providers in Ontario