Healthcare Provider Details

I. General information

NPI: 1992620850
Provider Name (Legal Business Name): AKSA SABIR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3031 W MARCH LN STE 117S
STOCKTON CA
95219-6500
US

IV. Provider business mailing address

3031 W MARCH LN STE 117S
STOCKTON CA
95219-6500
US

V. Phone/Fax

Practice location:
  • Phone: 209-952-2588
  • Fax: 209-952-2544
Mailing address:
  • Phone: 209-952-2588
  • Fax: 209-952-2544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number9891
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: