| Gateway Medical Center | |
|
710 N Euclid St Ste 101 Anaheim CA 92801-4132 | |
| (714) 517-2000 | |
| (714) 490-1975 |
| Full Name | Gateway Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 710 N Euclid St Ste 101, Anaheim, California |
| Authorized Official Name and Position | Mitchell W Lew (PRESIDENT) |
| Authorized Official Contact | 7145172000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Medical Center 710 N Euclid St Ste 400 Anaheim CA 92801-4132 Ph: (714) 517-2000 | Gateway Medical Center 710 N Euclid St Ste 101 Anaheim CA 92801-4132 Ph: (714) 517-2000 |
| NPI Number | 1053408278 |
|---|---|
| Provider Enumeration Date | 10/08/2006 |
| Last Update Date | 02/10/2023 |
| Medicare PECOS PAC ID | 9638136096 |
|---|---|
| Medicare Enrollment ID | O20041216000930 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053408278 | NPI | - | NPPES |
| GR0099850 | Medicaid | CA |
| Provider Name | Martin Blanco Eccleston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164520326 PECOS PAC ID: 9032176342 Enrollment ID: I20041217000267 |
| Provider Name | Karen Khin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447279948 PECOS PAC ID: 9931166295 Enrollment ID: I20041217000650 |
| Provider Name | John I Lauridsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730114166 PECOS PAC ID: 2264499524 Enrollment ID: I20041217000684 |
| Provider Name | Chuan M Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144328303 PECOS PAC ID: 8325005697 Enrollment ID: I20041217000796 |
| Provider Name | James S. Yoshikawa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750436473 PECOS PAC ID: 4183896491 Enrollment ID: I20111011000132 |
| Provider Name | Glenn K Morinishi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871648121 PECOS PAC ID: 3173781507 Enrollment ID: I20120214000957 |
| Provider Name | Sharma L Bishop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538464235 PECOS PAC ID: 7810140480 Enrollment ID: I20130109000633 |
| Provider Name | Soheil Samvatian |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1356596233 PECOS PAC ID: 1658428297 Enrollment ID: I20131204002113 |
| Provider Name | Zahra Shahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023252657 PECOS PAC ID: 2567699887 Enrollment ID: I20131227000388 |
| Provider Name | Arcel L Gulapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902203359 PECOS PAC ID: 5496049306 Enrollment ID: I20160815002374 |
| Provider Name | Sarah Shim Yi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922543883 PECOS PAC ID: 4082947817 Enrollment ID: I20190611002348 |
| Provider Name | Natalie Pang Sung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265959761 PECOS PAC ID: 9931534369 Enrollment ID: I20200113002708 |
| Provider Name | Patricia Kelleher Tynan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811462310 PECOS PAC ID: 4880020932 Enrollment ID: I20200207001899 |
| Provider Name | Allison K Kono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740836493 PECOS PAC ID: 2062849870 Enrollment ID: I20200217000978 |
| Provider Name | Merlin Ann Sunny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659786192 PECOS PAC ID: 9830316108 Enrollment ID: I20220428001650 |
The Family Medicine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 W. La Palma Avenue, Suite #404, Anaheim, CA 92801 Phone: 714-772-1030 Fax: 714-772-1758 | |
Anaheim Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2571 W La Palma Ave, Anaheim, CA 92801 Phone: 714-827-9797 Fax: 714-827-5377 | |
Shirdi Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1751 W Romneya Dr, Anaheim, CA 92801 Phone: 714-776-3180 Fax: 714-991-1932 | |
Rakesh Kumar Bhola ,m.d. Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1781 W Romneya Dr Ste C, Anaheim, CA 92801 Phone: 714-776-2700 | |
Anaheim Health Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1125 N Magnolia Ave, Anaheim, CA 92801 Phone: 714-484-1280 Fax: 714-484-1358 | |
Richard Dick M Yip Md A Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 S Beach Blvd Ste 211, Anaheim, CA 92804 Phone: 714-527-6000 Fax: 714-527-2371 | |
Benevolence Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 N East St, Anaheim, CA 92805 Phone: 714-491-1771 |