NPIMap

Organization Active NPI

Gateways FCTP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
National Provider Identifier
1851420079
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
930000058 Issued in CA
Legal business name
GATEWAYS FCTP
Practice address
1891 Effie St
Los Angeles, CA 90026-1711
Phone
(323) 644-2000
NPI assigned
Mar 5, 2007
Last updated
Aug 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

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

Authorized official

Name
Phil Wong
Title
Ceo
Phone
(323) 644-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 930000058 CA Primary

Addresses

Primary practice location

1891 Effie St
Los Angeles, CA 90026-1711

Mailing address

621 S Virgil Ave
# 300
Los Angeles, CA 90005-4000
Phone (213) 368-5400

National Provider Directory

National Provider Directory
Tax ID family
Gateways Percy Village13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

621 S Virgil Ave
Ste 300
Los Angeles, CA 90005
Phone (213) 368-5400

Practitioners & affiliated clinicians

Practitioners 8

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": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502755200000",
    "number": "1851420079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S VIRGIL AVE",
            "address_2": "# 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900054000",
            "telephone_number": "213-368-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 EFFIE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900261711",
            "telephone_number": "323-644-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAYS FCTP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2017-08-15",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-644-2000"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "930000058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.