Active NPI
Gateway Foundation Inc.
- Substance Abuse Rehabilitation Facility
- Sacramento, CA
National Provider Identifier
1366852147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- C340020
- Legal business name
- GATEWAY FOUNDATION INC.
- Practice address
- 4049 Miller Way
Sacramento, CA 95817-1332 - Phone
- (916) 451-9312
- Fax
- (916) 451-4018
- NPI assigned
- May 2, 2014
- 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
- Ayi Shaw
- Title
- Program Director
- Phone
- (916) 451-9312
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | C340020 | CA | Primary |
Addresses
Primary practice location
4049 Miller Way
Sacramento, CA 95817-1332
Mailing address
4049 Miller Way
Sacramento, CA 95817-1332
Phone (916) 451-9312
National Provider Directory
National Provider Directory- Tax ID family
- Gateway Foundation Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Sacramento, CA
- NPI 1477963247
-
- Substance Abuse Rehabilitation Facility
- Sacramento, CA
- NPI 1215920921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398988800000",
"number": "1366852147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4049 MILLER WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171332",
"telephone_number": "916-451-9312",
"fax_number": "916-451-4018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4049 MILLER WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171332",
"telephone_number": "916-451-9312",
"fax_number": "916-451-4018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATEWAY FOUNDATION INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-02",
"last_updated": "2014-05-02",
"status": "A",
"authorized_official_last_name": "SHAW",
"authorized_official_first_name": "AYI",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "916-451-9312"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "CA",
"license": "C340020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.