Organization Active NPI

Gateway Foundation, Inc.

  • Substance Abuse Rehabilitation Facility
  • Sacramento, CA
National Provider Identifier
1497748107
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
340003AN Issued in CA
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
Aug 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Susan B Blacksher, MSW
Title
Executive Director
Phone
(916) 338-9460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 340003AN CA Primary

Addresses

Primary practice location

4049 Miller Way
Sacramento, CA 95817-1332

Mailing address

2921 Fulton Ave
Sacramento, CA 95821-4909
Phone (916) 338-9460

National Provider Directory

National Provider Directory

Locations

2921 Fulton Ave
Sacramento, CA 95821

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497748107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 FULTON AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958214909",
            "telephone_number": "916-338-9460",
            "fax_number": "916-338-9468"
        },
        {
            "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": "2005-08-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACKSHER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-338-9460",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "340003AN",
            "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 Aug 22, 2020; 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.