| Gateway Medical Services, Inc. | |
|
9461 Deschutes Rd Unit 4 Palo Cedro CA 96073-9761 | |
| (530) 365-1833 | |
| (530) 365-5186 |
| Full Name | Gateway Medical Services, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 9461 Deschutes Rd, Palo Cedro, California |
| Authorized Official Name and Position | Tiffany Lockhart Reguera (OWNER) |
| Authorized Official Contact | 5305154202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Medical Services, Inc. 3082 Mcmurray Drive Anderson CA 96007 Ph: (530) 365-1833 | Gateway Medical Services, Inc. 9461 Deschutes Rd Unit 4 Palo Cedro CA 96073-9761 Ph: (530) 365-1833 |
| NPI Number | 1770993370 |
|---|---|
| Provider Enumeration Date | 05/05/2014 |
| Last Update Date | 08/11/2015 |
| Medicare PECOS PAC ID | 3678886231 |
|---|---|
| Medicare Enrollment ID | O20150724012377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770993370 | NPI | - | NPPES |
| Provider Name | Tiffany L Reguera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962485839 PECOS PAC ID: 0042259681 Enrollment ID: I20050503000386 |
| Provider Name | Dawn P Tamagni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033299920 PECOS PAC ID: 5294770335 Enrollment ID: I20050922000590 |
| Provider Name | Danny Drew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881747046 PECOS PAC ID: 8426136037 Enrollment ID: I20080423000263 |
| Provider Name | Jeremiah E Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649508763 PECOS PAC ID: 2163567116 Enrollment ID: I20100303000027 |
| Provider Name | Rodney M Swenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407863913 PECOS PAC ID: 0042492639 Enrollment ID: I20110302000848 |
| Provider Name | Shanthi J Dsouza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467898437 PECOS PAC ID: 3173756723 Enrollment ID: I20140506000359 |
| Provider Name | Pedro Henrique De Freitas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609369115 PECOS PAC ID: 8527316611 Enrollment ID: I20180806003418 |
| Provider Name | Andrew T Yen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578097275 PECOS PAC ID: 4587915814 Enrollment ID: I20190216000148 |
| Provider Name | Hiromi Takano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568996262 PECOS PAC ID: 0446500763 Enrollment ID: I20190218002044 |
| Provider Name | Stephanie Kay Casteel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326610452 PECOS PAC ID: 3072906247 Enrollment ID: I20220210002074 |
| Provider Name | Colleen H Whelen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245965508 PECOS PAC ID: 0941672919 Enrollment ID: I20230221001866 |
| Provider Name | Chardilaine R Whitlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083342083 PECOS PAC ID: 5395103329 Enrollment ID: I20230622002362 |
| Provider Name | Justin Hamilton King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518664705 PECOS PAC ID: 7113371188 Enrollment ID: I20230925001836 |
| Provider Name | Nathan C Hofmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316528466 PECOS PAC ID: 3072915362 Enrollment ID: I20250327003598 |
Prime Healthcare Services - Shasta Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9180 Deschutes Rd, Palo Cedro, CA 96073 Phone: 530-244-5400 | |
Steven C. Davis Chiropractic Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9461 Deschutes Rd Ste 10, Palo Cedro, CA 96073 Phone: 530-547-4277 Fax: 530-547-4284 |