Healthcare Provider Details

I. General information

NPI: 1811930118
Provider Name (Legal Business Name): BENJAMIN NEAL GILBERT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 07/25/2023
Certification Date: 12/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 ESPLANADE
CHICO CA
95973-0207
US

IV. Provider business mailing address

3401 ESPLANADE
CHICO CA
95973-0207
US

V. Phone/Fax

Practice location:
  • Phone: 530-895-1727
  • Fax: 530-895-1506
Mailing address:
  • Phone: 530-895-1727
  • Fax: 530-895-1506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberG85718
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: