IndividualActive
Ibrahim Shakur
NPI 1114692530 · Community Health Worker · Stockton, CA
Ibrahim Shakur is a Community Health Worker provider in Stockton, CA (NPI 1114692530).
Provider details
- NPI number
- 1114692530
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1212 N California St
Stockton, CA 95202-1552
Phone: (209) 468-0103
Street-level locationGet directions
Mailing address
1055 E Colorado Blvd Ste 560
Pasadena, CA 91106-2380
Registry dates
- Enumerated
- 2021-08-09
- Last updated
- 2024-01-19
- Certified
- 2024-01-14
Frequently asked questions
- What is Ibrahim Shakur's NPI number?
- Ibrahim Shakur's National Provider Identifier (NPI) is 1114692530, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ibrahim Shakur's specialty?
- Ibrahim Shakur is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Ibrahim Shakur located?
- Ibrahim Shakur's practice location on file with NPPES is 1212 N California St, Stockton, CA 95202-1552.
- What is Ibrahim Shakur's phone number?
- The practice phone number listed in the NPPES registry for Ibrahim Shakur is (209) 468-0103.
- Is Ibrahim Shakur's NPI active?
- Yes — Ibrahim Shakur's NPI (1114692530) is active in the NPPES registry as of the last update on 2024-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.