Active NPI
Mary Patricia Gates, RNP
- Obstetrics & Gynecology Nurse Practitioner
- Riverside, CA
National Provider Identifier
1447236914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- NP6592
- Practice address
- 6405 Day St
Riverside, CA 92507-0901 - Phone
- (951) 697-5438
- Fax
- (951) 697-5508
- NPI assigned
- Dec 16, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | NP6592 | CA | Primary |
Addresses
Primary practice location
6405 Day St
Riverside, CA 92507-0901
Mailing address
3660 Arlington Ave
Riverside, CA 92506-3912
Phone (951) 697-5438
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730180415 | Other | CA | GROUP NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6592 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| NP6592 | CA | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1447236914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3660 ARLINGTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925063912",
"telephone_number": "951-697-5438",
"fax_number": "951-697-5508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6405 DAY ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925070901",
"telephone_number": "951-697-5438",
"fax_number": "951-697-5508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES",
"first_name": "MARY",
"middle_name": "PATRICIA",
"credential": "RNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-16",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "CA",
"license": "NP6592",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1730180415",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.