Gateway Comprehensive Medical Group

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A54452 Issued in CA

Legal business name

GATEWAY COMPREHENSIVE MEDICAL GROUP

Practice address

995 Gateway Center Way
Suite 105
San Diego, CA 92102-4500

Phone

(619) 264-1934

NPI assigned

Nov 3, 2010

Last updated

Apr 29, 2015By 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

Tarek Hassanein, M.D.NPI 1801854450

Title

Director

Phone

(619) 990-1698

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Gateway Comprehensive Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gateway Comprehensive Medical Group

  • Legal Medicine
  • San Diego, CA
  • NPI 1376834077
  NPD tax ID

Locations

Practitioners 15

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.

• Tarek I. Hassanein, M.D.

  • Hepatology Physician
  • Coronado, CA
  • NPI 1801854450
  Medicare reassignment NPD Authorized official
• Noha Abdelgelil, MD

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1457926404
  NPD (past)
• Heidi Marie Amundson, PA-C

  • Medical Physician Assistant
  • Chula Vista, CA
  • NPI 1639802564
  NPD (past)
• Nabil Baig, D.O.

  • Hospitalist Physician
  • San Diego, CA
  • NPI 1235405655
  NPD (past)
• Rhoda Gonzalez

  • Family Nurse Practitioner
  • Chula Vista, CA
  • NPI 1477365583
  NPD (past)
• Roukaya Tarek Hassanein, MD

  • Surgery Physician
  • Brawley, CA
  • NPI 1114454519

  Single Specialty

  NPD (past)
• Anna Marie Hefner, NP

  • Nurse Practitioner
  • San Diego, CA
  • NPI 1588913537
  NPD (past)
• Deanna Oliver, MD

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1750725362
  NPD (past)
• Renee Sue Pozza, PHD, RN, FNP-BC, CNS

  • Family Nurse Practitioner
  • San Clemente, CA
  • NPI 1275770661
  NPD (past)
• Bashir A. Rawi, MD

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1003964834

  General Practice

  NPD (past)
• Alexander Shaft

  • Family Medicine Physician
  • Vista, CA
  • NPI 1063876688
  NPD (past)
• Mohammad R Soleimanpour, M.D.

  • Gastroenterology Physician
  • La Mesa, CA
  • NPI 1194714527
  NPD (past)

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1831490184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181770",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921781770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 GATEWAY CENTER WAY",
            "address_2": "SUITE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024500",
            "telephone_number": "619-264-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY COMPREHENSIVE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "HASSANEIN",
        "authorized_official_first_name": "TAREK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "619-990-1698",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A54452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latasha Denise Gates
• Samantha Gates
• Tatum Nicole Gates, AU.D.
• Valerie Nicole Gates, DNP, FNP-C
• Gateway Comprehensive Medical Group
• Gateway Medical Transportation LLC
• Andre Gatewood
• Gather Your Strength Marriage and Family Counseling (Gather Your Strength Counseling)
• Jennifer Gathman, MSN, FNP-C, IBCLC
• Sergio Paulo Gatica

• General Practice Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.