Active NPI
Mercy Gate Foundation
- Internal Medicine Physician
- Scotts Valley, CA
National Provider Identifier
1003608902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MERCY GATE FOUNDATION
- Practice address
- 1580 Lockhart Gulch Rd
Scotts Valley, CA 95066-2917 - Phone
- (541) 908-2316
- NPI assigned
- May 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aly Mohamed, MD
- Title
- Ceo
- Phone
- (541) 908-2316
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1580 Lockhart Gulch Rd
Scotts Valley, CA 95066-2917
Mailing address
2108 N St # 6539
Sacramento, CA 95816-5712
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747612800000",
"number": "1003608902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 N ST # 6539",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 LOCKHART GULCH RD",
"city": "SCOTTS VALLEY",
"state": "CA",
"postal_code": "950662917",
"telephone_number": "541-908-2316"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY GATE FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-19",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A",
"authorized_official_last_name": "MOHAMED",
"authorized_official_first_name": "ALY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "541-908-2316",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scotts Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.