GATEWAY HOME DIALYSIS, INC. (NPI# 1710943576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710943576 |
| Entity Type | Organization |
| Organization Name | GATEWAY HOME DIALYSIS, INC. |
| Practice Address |
1120 N Chinowth St Visalia CA 93291-7896 |
| Practice Telephone | 5597339707 |
| Practice Fax Number | 5597337009 |
| Mailing Telephone | 5597339707 |
| Mailing Fax Number | 5597337009 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2009-12-30 |
| Authorized Official Name | SARAH HEANEY (ADMINISTRATOR) |
| Authorized Official Telephone | 5597339707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BD1200X |
Durable Medical Equipment & Medical Supplies Specialization: Dialysis Equipment & Supplies |
FNP 18234 | CA | Suppliers |
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
240000798 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CIGNA MEDICARE DMERC | 4970860001 | 01 |
| CA | CDC02771F | 05 |
| Street Address |
1120 N CHINOWTH ST |
| City | VISALIA |
| State | CA |
| Zip Code | 93291-7896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952628091 | Total Renal Care Inc | Clinic/Center | 1120 N Chinowth St, Visalia, CA 93291-7896 | 2010-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964854 | Stephanie Janae Ybarra | Orthotist | 5412 Avenida De Los Robles, Suite 101, Visalia, CA 93291 | 2020-02-21 |
| 1689223067 | Patricia Mari Marquez | Technician | 32481 Road 127, Visalia, CA 93291 | 2019-09-09 |
| 1942767710 | Jeremy Clifton Mccallister | Counselor | 120 W. School Ave., Visalia, CA 93291 | 2019-02-27 |
| 1568975290 | Kaweah Delta Health Care District | Clinic/Center | 3600 Flagstaff Avenue, Visalia, CA 93291 | 2017-11-16 |
| 1932625308 | Christina Gonzalez | Counselor | New Hope, 212 N. Stevenson, Visalia, CA 93291 | 2017-08-17 |
| 1629598545 | Estherose Molina | Assistant Behavior Analyst | 5445 W. Sweet Drive, Visalia, CA 93291 | 2017-06-21 |
| 1487195988 | Brenda Rodriguez | Case Manager/Care Coordinator | 546 East Tulare Ave, Visalia, CA 93291 | 2017-03-16 |
| 1295181857 | David James Tsuneji Fujihara | Emergency Medicine | 400 W. Mineral King Ave, Visalia, CA 93291 | 2016-05-12 |
| 1326409343 | Bay Area Surgical Specialists, Inc A Medical Corporation | Pain Medicine | 5127 W Noble Ave, Visalia, CA 93291 | 2016-03-18 |
| 1932585700 | Charles Dominick Trentacosti | Occupational Therapy Assistant | 514 N Bridge St, Visalia, CA 93291 | 2015-08-04 |
| Find all providers in zip 93291 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386069367 | Total Renal Care Inc | Clinic/Center | 1140 S Ben Maddox Way, Visalia, CA 93292-3643 | 2014-02-27 |
| 1245291558 | Kaweah Delta Health Care District | Clinic/Center | 5040 W Tulare Ave, Visalia, CA 93277-1593 | 2006-03-29 |
| 1508831454 | Dva Renal Healthcare Inc | Clinic/Center | 433 S Bridge St, Visalia, CA 93277-2801 | 2006-02-22 |
| 1487629382 | Dva Renal Healthcare Inc | Clinic/Center | 5429 W Cypress Ave, Visalia, CA 93277-8341 | 2006-02-22 |
| 1528439395 | Helmer Dialysis, LLC | Clinic/Center | 1140 S Ben Maddox Way, Visalia, CA 93292-3643 | 2015-10-19 |
| 1952628091 | Total Renal Care Inc | Clinic/Center | 1120 N Chinowth St, Visalia, CA 93291-7896 | 2010-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444765 | Kinter Dialysis, LLC | Clinic/Center | 1055 El Camino Real, Colma, CA 94014-3234 | 2020-10-16 |
| 1063010734 | Monad Dialysis, LLC | Clinic/Center | 5238 Manzanita Ave, Carmichael, CA 95608-0510 | 2020-10-14 |
| 1891305462 | Auberry's Home Hemo Dialysis | Clinic/Center | 8200 S Normandie Ave, Los Angeles, CA 90044-2336 | 2020-08-07 |
| 1376152645 | Navin Dialysis, LLC | Clinic/Center | 4314 E Jensen Ave, Fresno, CA 93706-9049 | 2020-07-23 |
| 1669080107 | Total Renal Care Inc | Clinic/Center | 4270 Rosewood Dr Ste E, Pleasanton, CA 94588-3065 | 2020-07-21 |
| 1659997112 | Arbela Dialysis LLC | Clinic/Center | 900 Huntington Dr Ste B, San Marino, CA 91108-1825 | 2020-06-22 |
| 1275158487 | Cudahy Peritoneal Dialysis Center | Clinic/Center | 4566 Florence Ave Ste 3, Cudahy, CA 90201-4346 | 2020-06-12 |
| 1659994903 | Bio Medical Applications of California Inc | Clinic/Center | 1287 N Hacienda Blvd, La Puente, CA 91744-1631 | 2020-05-21 |
| 1245853654 | Culbert Dialysis LLC | Clinic/Center | 4223 E Anaheim St, Long Beach, CA 90804-4202 | 2020-05-20 |
| 1790308179 | Palo Dialysis LLC | Clinic/Center | 10211 Long Beach Road, Lynwood, CA 90262-1508 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GATEWAY HOME DIALYSIS, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.