Healthcare Provider Details

I. General information

NPI: 1619046299
Provider Name (Legal Business Name): JOHN GILBERT CHAPPLE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 E ARRELLAGA ST
SANTA BARBARA CA
93103-2205
US

IV. Provider business mailing address

511 E ARRELLAGA ST
SANTA BARBARA CA
93103-2205
US

V. Phone/Fax

Practice location:
  • Phone: 805-966-2204
  • Fax: 805-966-7821
Mailing address:
  • Phone: 805-966-2204
  • Fax: 805-966-7821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberA21284
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: