Gateway Comprehensive Medical Group

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

A54452 Issued in CA

Legal business name

GATEWAY COMPREHENSIVE MEDICAL GROUP

Practice address

995 Gateway Center Way Ste 105
San Diego, CA 92102-4544

Phone

(619) 264-1934

NPI assigned

Apr 28, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Tarek I Hassanein, MD

Title

MD

Phone

(619) 264-1934

Specialties & licenses 1

Addresses

Tax ID family

Gateway Comprehensive Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Gateway Comprehensive Medical Group

  • General Practice Physician
  • San Diego, CA
  • NPI 1831490184
  NPD tax ID

Locations

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1376834077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181770",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921781770",
            "telephone_number": "619-264-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 GATEWAY CENTER WAY STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024544",
            "telephone_number": "619-264-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY COMPREHENSIVE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "HASSANEIN",
        "authorized_official_first_name": "TAREK",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "619-264-1934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "A54452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Ellen Gates, MD
• Julieann Gates, RN
• Latasha Denise Gates
• Tatum Nicole Gates, AU.D.
• Valerie Nicole Gates, DNP, FNP-C
• Gateway Comprehensive Medical Group
• Gateway Medical Transportation LLC
• Andre Gatewood
• Gather Your Strength Marriage and Family Counseling
• Jennifer Gathman, MSN, FNP-C, IBCLC

• Legal Medicine in San Diego, CA
• Providers in San Diego, CA by specialty
• Legal Medicine in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.