NPIMap

Organization Active NPI

Primary and Multi Specialty Clinics of Anaheim Inc

Doing business as Gateway Medical Center

  • Family Medicine Physician
  • Anaheim, CA
National Provider Identifier
1053408278
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMARY AND MULTI SPECIALTY CLINICS OF ANAHEIM INC
Doing business as
Gateway Medical Center
Practice address
710 N Euclid St Ste 101
Anaheim, CA 92801-4132
Phone
(714) 517-2000
Fax
(714) 490-1975
NPI assigned
Oct 8, 2006
Last updated
Aug 19, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW GENESIS MEDICAL ASSOCIATES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jerod Elliott
Title
Director
Phone
(562) 537-2814

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X

Addresses

Primary practice location

710 N Euclid St Ste 101
Anaheim, CA 92801-4132

Mailing address

710 N Euclid St Ste 400
Anaheim, CA 92801-4132
Phone (714) 517-2000

Other practice location 1

710 N Euclid St Ste 301
Anaheim, CA 92801-4122
Phone (714) 517-2000

Other names 1

  • GATEWAY MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041216000930 CA Part B Supplier - Clinic/Group Practice 9638136096 Receives reassigned benefits from 14 practitioners
4 other NPIs on this enrollment
Practice locations: Anaheim, CA; Santa Ana, CA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Prospect Foothill Urgent Care

Locations

701 N Euclid St Ste 106
Anaheim, CA 92801

701 N Euclid St Ste 203
Anaheim, CA 92801

701 N Euclid St Ste 301
Anaheim, CA 92801

710 N Euclid St
Anaheim, CA 92801
Phone (714) 517-2000

710 N Euclid St
Ste 100
Anaheim, CA 92801

710 N Euclid St
Ste 106
Anaheim, CA 92801
Phone (714) 399-0620

710 N Euclid St
Ste 3012
Anaheim, CA 92801

710 N Euclid St
Ste 310
Anaheim, CA 92801

15965 Quantico Rd Ste C
Apple Valley, CA 92307

8970 Warner Ave
Fountain Vly, CA 92708
Phone (714) 477-8400

801 N Tustin Ave
Ste 602
Santa Ana, CA 92705
Phone (714) 245-2417

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1053408278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N EUCLID ST STE 400",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014132",
            "telephone_number": "714-517-2000",
            "fax_number": "714-490-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N EUCLID ST STE 101",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014132",
            "telephone_number": "714-517-2000",
            "fax_number": "714-490-1975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 N Euclid St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928014122",
            "country_code": "US",
            "telephone_number": "714-517-2000",
            "fax_number": "714-490-1975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIMARY AND MULTI SPECIALTY CLINICS OF ANAHEIM INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW GENESIS MEDICAL ASSOCIATES, INC.",
        "enumeration_date": "2006-10-08",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "JEROD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "562-537-2814"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GATEWAY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.