Gateway Home Dialysis, Inc.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

240000798 Issued in CA

Legal business name

GATEWAY HOME DIALYSIS, INC.

Practice address

1120 N Chinowth St
Visalia, CA 93291-7896

Phone

(559) 733-9707

Fax

(559) 733-7009

NPI assigned

Apr 21, 2006

Last updated

Dec 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah Heaney

Title

Administrator

Phone

(559) 733-9707

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1710943576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N CHINOWTH ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932917896",
            "telephone_number": "559-733-9707",
            "fax_number": "559-733-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N CHINOWTH ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932917896",
            "telephone_number": "559-733-9707",
            "fax_number": "559-733-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY HOME DIALYSIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "HEANEY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "559-733-9707"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "240000798",
            "primary": true
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "CA",
            "license": "FNP 18234",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA MEDICARE DMERC",
            "identifier": "4970860001",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDC02771F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Garza
• Amber Gates, MFTI
• Elizabeth R Gates, PHD
• Ryan James Gates, PHARM. D.
• Gateway Care LLC (Sequoia Vista)
• Brenda Gonzalez Gavina, ACSW
• Gaylene J. Soloniuk-Tays, M.D., a Professional Corporation (Compassionate Family Care)
• Petra Gaytan, LMFT
• Haley Gee, AMFT, APCC
• Quinn Gee, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Visalia, CA
• Providers in Visalia, CA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.