Healthcare Provider Details

I. General information

NPI: 1306139043
Provider Name (Legal Business Name): SARA ANN BABCOCK GILBERT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARA ANN BABCOCK

II. Dates (important events)

Enumeration Date: 05/26/2011
Last Update Date: 10/14/2024
Certification Date: 10/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 RESPONSE RD
SACRAMENTO CA
95815-4807
US

IV. Provider business mailing address

PO BOX 110429
AURORA CO
80042-0429
US

V. Phone/Fax

Practice location:
  • Phone: 916-614-5005
  • Fax:
Mailing address:
  • Phone: 303-493-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberFG5857238
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberDR.0056466
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: