Ibraheem Al Shammaa
Individual provider Active NPI Basic Emergency Medical Technician · Berkeley, CA
NPI 1336940014 · NPPES record last updated Feb 17, 2026
Key facts
- NPI
- 1336940014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Basic Emergency Medical Technician 146N00000X
- License
- E195911 (CA)
- Practice address
- 2312 Ellsworth St
Berkeley, CA 94704-1562 - Phone
- (916) 892-9724
- NPI assigned
- Mar 20, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E195911 | CA | MD | Basic Emergency Medical Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | E195911 | CA | Yes |
Addresses
Primary practice location
2312 Ellsworth St
Berkeley, CA 94704-1562
Mailing address
2312 Ellsworth St
Berkeley, CA 94704-1562
Phone (916) 892-9724
Other providers in Berkeley, CA
- Michael James Ajuria
- Rachael A Akbar
- Esther Akiba
- Richelle Akins
- David Akullian
- Alana Diamos LLC
- Nawar Albarak
- Guy Albert
- Vanessa Albert
- Samantha Alberto
All providers in Berkeley, CA · Basic Emergency Medical Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.