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ISSA SIDIBE NP
NPI 1417361395
Nurse Practitioner - Family in Stockton, CA

Active since June 18, 2014
701 E CHANNEL ST, STOCKTON, CA 95202(209) 944-4700 Get Directions Write a Review

NPPES record last updated: June 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Issa Sidibe Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISSA SIDIBE NP (NPI 1417361395) is an individual family provider in Stockton, California, licensed in California (95000638) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1417361395
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameISSA SIDIBECredential: NP
Location Address701 E CHANNEL STStockton, CA 95202-2628
Mailing Address7439 Shoreline DriveStockton, CA 95219 · (760) 481-2445
Phone(209) 944-4700
Sole ProprietorYes
Enumeration DateJune 18, 2014
✔ NPI 1417361395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95000638
701 E CHANNEL ST, Stockton, CA 95202
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANA RUTH REVILLA M.D.
Pediatrics
701 E CHANNEL ST
STOCKTON, CA 95202
San Joaquin County (209) 944-4700
PRIYANKA AJAYSINH RAJPUT MD
Family Medicine
701 E CHANNEL ST
STOCKTON, CA 95202
San Joaquin County (209) 944-4700
MR. GERALD SORIA F.N.P.
Nurse Practitioner
701 E CHANNEL ST
STOCKTON, CA 95202
San Joaquin County (209) 944-4700
COMMUNITY MEDICAL CENTERS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
701 E CHANNEL ST
STOCKTON, CA 95202
San Joaquin County (209) 944-4700
DR. PATRICK JAMES MENESES PHARM. D.
Pharmacist
701 E CHANNEL ST
STOCKTON, CA 95202
San Joaquin County (209) 944-4730
SECILIA MENDOZA MARTINEZ
Case Manager/Care Coordinator
701 E CHANNEL ST
STOCKTON, CA 95202
San Joaquin County (209) 414-7506
MARTHA ORTIZ GUZMAN
Case Manager/Care Coordinator
701 E CHANNEL ST
STOCKTON, CA 95202
San Joaquin County (120) 976-2252
ROXANA CABRERA-BROWN MD
Family Medicine
701 E CHANNEL ST
STOCKTON, CA 95202
San Joaquin County (209) 944-4700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Issa Sidibe's NPI number?

The NPI number for Issa Sidibe is 1417361395. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Where is Issa Sidibe located?

Issa Sidibe practices at 701 E Channel St, Stockton, CA 95202. The listed phone number is (209) 944-4700.

What is Issa Sidibe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Issa Sidibe was last updated on June 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.