NPIMap

Organization Active NPI

Gateway Urgent Care Clinic, L.L.C.

  • Health Maintenance Organization
  • Waipahu, HI
National Provider Identifier
1780861229
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
8981 Issued in HI
Legal business name
GATEWAY URGENT CARE CLINIC, L.L.C.
Practice address
94-378 Pupupani Street
102
Waipahu, HI 96797-2648
Phone
(808) 677-1433
Fax
(808) 677-1676
NPI assigned
Jan 28, 2008
Last updated
Jan 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Dr. Sorbella M Guillermo, M.D.NPI 1003913146
Title
Owner Member
Phone
(808) 677-1433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 8981 HI Primary

Addresses

Primary practice location

94-378 Pupupani Street
102
Waipahu, HI 96797-2648

Mailing address

94-378 Pupupani Street
102
Waipahu, HI 96797-2648
Phone (808) 677-1433

National Provider Directory

National Provider Directory

Locations

94-378 Pupupani St
Ste 102
Waipahu, HI 96797
Phone (808) 677-1433

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1780861229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-378 PUPUPANI STREET",
            "address_2": "102",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972648",
            "telephone_number": "808-677-1433",
            "fax_number": "808-677-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-378 PUPUPANI STREET",
            "address_2": "102",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972648",
            "telephone_number": "808-677-1433",
            "fax_number": "808-677-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY URGENT CARE CLINIC, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "GUILLERMO",
        "authorized_official_first_name": "SORBELLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER MEMBER",
        "authorized_official_telephone_number": "808-677-1433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "HI",
            "license": "8981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.