Organization Active NPI

Gateway Clinics PLLD

  • Emergency Care Clinic/Center
  • Livonia, MI
National Provider Identifier
1811247059
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
GATEWAY CLINICS PLLD
Practice address
20331 Farmington Rd
Suite 101
Livonia, MI 48152-1411
Phone
(248) 478-1100
Fax
(248) 478-7054
NPI assigned
Sep 14, 2012
Last updated
Sep 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
Dr. Nasser Taghavi, M.D.NPI 1487624383
Title
Owner
Phone
(248) 478-1100

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
Emergency Care Clinic/Center 261QE0002X NU Primary

Addresses

Primary practice location

20331 Farmington Rd
Suite 101
Livonia, MI 48152-1411

Mailing address

20331 Farmington Rd
Suite 101
Livonia, MI 48152-1411
Phone (248) 478-1100

Other identifiers 1

IdentifierTypeStateIssuer
1417979360MedicaidMI

National Provider Directory

National Provider Directory

Locations

20331 Farmington Rd
Ste 101
Livonia, MI 48152
Phone (248) 478-1100

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": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1811247059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20331 FARMINGTON RD",
            "address_2": "SUITE 101",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521411",
            "telephone_number": "248-478-1100",
            "fax_number": "248-478-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20331 FARMINGTON RD",
            "address_2": "SUITE 101",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521411",
            "telephone_number": "248-478-1100",
            "fax_number": "248-478-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY CLINICS PLLD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "TAGHAVI",
        "authorized_official_first_name": "NASSER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-478-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417979360",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.