Organization Active NPI

Gateway Wellmess Center

  • Psychiatric Hospital
  • Los Angeles, CA
National Provider Identifier
1265977862
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
1720151137 Issued in CA
Legal business name
GATEWAY WELLMESS CENTER
Practice address
433 N Hoover St
Los Angeles, CA 90004-2306
Phone
(323) 644-2040
NPI assigned
Jan 5, 2017
Last updated
Jan 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Ms. Michele Renee WilsonNPI 1013453695
Title
Peer Advocate
Phone
(323) 644-2040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 1720151137 CA Primary

Addresses

Primary practice location

433 N Hoover St
Los Angeles, CA 90004-2306

Mailing address

433 N Hoover St
Los Angeles, CA 90004-2306
Phone (323) 644-2040

National Provider Directory

National Provider Directory
Tax ID family
Moving Lives Forward24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1265977862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 N HOOVER ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900042306",
            "telephone_number": "323-644-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N HOOVER ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900042306",
            "telephone_number": "323-644-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY WELLMESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PEER ADVOCATE",
        "authorized_official_telephone_number": "323-644-2040",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "CA",
            "license": "1720151137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.