GATEWAY MEDICAL CENTER INC NPI 1275685414

NPI Information

NPI: 1275685414
Provider Name: GATEWAY MEDICAL CENTER INC

Doing Business As: ANDERSON WALK IN CLINIC

Classification: General Practice - 208D00000X
Entity Type: Organization

Address:
3082 MCMURRAY DR
ANDERSON, CA
ZIP 96007
Phone: (530) 365-4412
Get Directions

GATEWAY MEDICAL CENTER INC is a general practice in Anderson, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee GATEWAY MEDICAL CENTER INC NPI is 1275685414. The provider is registered as an organization entity type.
The provider Is Doing Business As Anderson Walk In Clinic.

The provider's business location address is:

3082 MCMURRAY DR
ANDERSON, CA
ZIP 96007
Phone: (530) 365-4412
Fax: (530) 365-5186

The provider's authorized official is Tiffany Lockhart Reguera .
The authorized official title is Director and has the following contact phone number (530) 365-4412.

The CLIA number assigned to this NPI record is 05D0863153 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 2/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			No
2	208D00000X	General Practice		20A5484	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	553862	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	RURAL HEALTH
2	ZZZ28215Z	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	NHIC NUMBER
3	Q4185	MEDICARE UPIN	CALIFORNIA
4	RHM53862F	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »