NPIMap

Organization Active NPI

Primary and Multi Specialty Clinics of Anaheim Inc

  • Primary Care Clinic/Center
  • Anaheim, CA
National Provider Identifier
1386356178
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PRIMARY AND MULTI SPECIALTY CLINICS OF ANAHEIM INC
Practice address
3030 W Ball Rd
Anaheim, CA 92804-3897
Phone
(657) 337-5055
Fax
(657) 337-5057
NPI assigned
Dec 23, 2022
Organization subpart
Yes
Parent organization
PRIMARY AND MULTI SPECIALTY CLINICS OF ANAHEIM INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Dr. Mitchell Way Lew, MD
Title
Owner, President
Phone
(714) 813-5129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3030 W Ball Rd
Anaheim, CA 92804-3897

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
GR0099850MedicaidCA

Other names 1

  • Gateway Medical Center - West Anaheim 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
This NPI is an additional NPI on the 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
Primary and Multi-Specialty

Locations

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1386356178",
    "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": "3030 W BALL RD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043897",
            "telephone_number": "657-337-5055",
            "fax_number": "657-337-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY AND MULTI SPECIALTY CLINICS OF ANAHEIM INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMARY AND MULTI SPECIALTY CLINICS OF ANAHEIM INC",
        "enumeration_date": "2022-12-23",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "LEW",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "WAY",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "714-813-5129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0099850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Medical Center - West Anaheim",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gateway Medical Center - West Anaheim",
            "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 May 29, 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.