Provider Demographics
NPI:1245563816
Name:WATKINS, GAIL LEANNE (PA-C)
Entity type:Individual
Prefix:MS
First Name:GAIL
Middle Name:LEANNE
Last Name:WATKINS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:GAIL
Other - Middle Name:LEANNE
Other - Last Name:CROWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 277
Mailing Address - Street 2:
Mailing Address - City:BIEBER
Mailing Address - State:CA
Mailing Address - Zip Code:96009-0277
Mailing Address - Country:US
Mailing Address - Phone:530-999-9010
Mailing Address - Fax:
Practice Address - Street 1:554-850 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:BIEBER
Practice Address - State:CA
Practice Address - Zip Code:96009-8000
Practice Address - Country:US
Practice Address - Phone:530-999-9010
Practice Address - Fax:530-362-4015
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA 20484363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACR105YMedicare PIN