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NPI Code Detail

MEDICARE: MR. GILBERT DSOUZA

MEDICARE:  MR. GILBERT  DSOUZA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0809XAdult Psychiatric/Mental Health Registered Nurse481568CA
2363LF0000XFamily Nurse Practitioner16458CA
3363LP0808XPsychiatric/Mental Health Nurse Practitioner16458CA

General Provider Information

NPI Number : 1669526752
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GILBERT DSOUZA
Provider Business Mailing Address
First Line : 2615 E CLINTON AVE
Second Line :
City : FRESNO
State : CA
Zip : 93703-2223
Country : US
Telephone Number : 559-225-6100
Fax Number :
Provider Business Practice Location Address
First Line : 6051 N FRESNO ST STE 201
Second Line :
City : FRESNO
State : CA
Zip : 93710-5280
Country : US
Telephone Number : 559-248-8550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 04/29/2025

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Directions to “ MR. GILBERT DSOUZA ” Practice Location

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