Healthcare Provider Details

I. General information

NPI: 1245563816
Provider Name (Legal Business Name): GAIL LEANNE WATKINS P.A.-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS GAIL LEANNE CROWE

II. Dates (important events)

Enumeration Date: 09/14/2009
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

554-850 MEDICAL CENTER DR
BIEBER CA
96009-8000
US

IV. Provider business mailing address

PO BOX 277
BIEBER CA
96009-0277
US

V. Phone/Fax

Practice location:
  • Phone: 530-999-9010
  • Fax: 530-362-4015
Mailing address:
  • Phone: 530-999-9010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA 20484
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: