GATEWAYS FCTP (NPI# 1851420079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851420079 |
| Entity Type | Organization |
| Organization Name | GATEWAYS FCTP |
| Practice Address |
1891 Effie St Los Angeles CA 90026-1711 |
| Mailing Address |
621 S Virgil Ave # 300 Los Angeles CA 90005-4000 |
| Practice Telephone | 3236442000 |
| Mailing Telephone | 2133685400 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2017-08-15 |
| Authorized Official Name | PHIL WONG (CEO) |
| Authorized Official Telephone | 3236442000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
930000058 | CA | Ambulatory Health Care Facilities |
| Street Address |
1891 EFFIE ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90026-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700868395 | Ilene D Miner | Social Worker | 1891 Effie St, Los Angeles, CA 90026-1711 | 2005-11-18 |
| 1316566292 | Priscilla Ortega | Registered Nurse | 1891 Effie St, Los Angeles, CA 90026-1793 | 2020-04-10 |
| 1568090595 | Emily Erskin | Counselor | 1891 Effie St, Los Angeles, CA 90026-1711 | 2020-03-27 |
| 1932749363 | Genevie Ulloa | Social Worker | 1891 Effie St, Los Angeles, CA 90026-1711 | 2020-01-14 |
| 1306498894 | Michael Sidney Dappolonia | Nurse Practitioner | 1891 Effie St, Los Angeles, CA 90026-1711 | 2019-07-15 |
| 1205490703 | Nicole Soriano | Marriage & Family Therapist | 1891 Effie St, Los Angeles, CA 90026-1711 | 2019-04-30 |
| 1376006197 | Stephanie Beth Drotman | Social Worker | 1891 Effie St, Los Angeles, CA 90026-1793 | 2019-04-09 |
| 1972955904 | Sara Melissa Feldman | Social Worker | 1891 Effie St, Los Angeles, CA 90026-1711 | 2016-07-01 |
| 1982050571 | Nicholas Albrecht | Marriage & Family Therapist | 1891 Effie St, Los Angeles, CA 90026-1711 | 2016-05-12 |
| 1821462128 | Daniel Maryanov | Registered Nurse | 1891 Effie St, Los Angeles, CA 90026-1711 | 2015-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497305684 | Mieshia Gaston | Technician | 831 Lucile Ave, 201, Los Angeles, CA 90026 | 2019-09-19 |
| 1265902928 | Shivangi Amin Md, Inc | Family Medicine | 701 N Alvarado St Fl 1, Los Angeles, CA 90026 | 2018-11-26 |
| 1013402478 | Guillermo Gonzalez Lopez | Social Worker | La Cada, 1773 Griffith Park, Los Angeles, CA 90026 | 2018-06-28 |
| 1720504343 | Nadia Jocelyn Munoz | Counselor | 155 N. Occidental Blvd., Los Angeles, CA 90026 | 2017-08-15 |
| 1518489434 | Paul Keeley | Marriage & Family Therapist | 321 North Larchmont Boulevard, Suite 808, Los Angeles, CA 90026 | 2017-07-12 |
| 1326598079 | Yen-chen Chen | Speech-Language Pathologist | 2836 Sunset Blvd., Los Angeles, CA 90026 | 2016-10-06 |
| 1386038446 | Grace Ann M Navos | Physical Therapy Assistant | 2708 Glassell St, Los Angeles, CA 90026 | 2015-03-26 |
| 1578964227 | Giselle Louise Jones | Social Worker | 1741 Silver Lake Blvd Ste 2a, Los Angeles, CA 90026 | 2014-09-12 |
| 1619394160 | Mary Ann Flores Topico | Nurse Practitioner | 1379 Angelina St., Los Angeles, CA 90026 | 2014-03-22 |
| 1447674981 | Tribeca Pediatrics, PC | Pediatrics | 2920 Sunset Blvd, Tribeca Pediatrics, Los Angeles, CA 90026 | 2014-02-04 |
| Find all providers in zip 90026 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633864 | Andrea Forcina | Clinic/Center | 3401 Glendale Blvd Fl 2, Los Angeles, CA 90039-1814 | 2020-06-08 |
| 1831710706 | Beyond Cancer Family Therapy Inc | Clinic/Center | 4082 S Cloverdale Ave, Los Angeles, CA 90008-1033 | 2020-05-02 |
| 1518599851 | Vip Community Mental Health Center, Inc | Clinic/Center | 2820 E 1st St, Los Angeles, CA 90033-3636 | 2020-02-05 |
| 1699306340 | Vip Community Mental Health Center, Inc. | Clinic/Center | 2730 Ganahl St, Los Angeles, CA 90033-2019 | 2020-01-31 |
| 1629618350 | Ustawi | Clinic/Center | 13101 W Washington Blvd Ste 118, Los Angeles, CA 90066-5176 | 2020-01-10 |
| 1073158622 | Los Angeles County Department of Mental Health | Clinic/Center | 3303 N. Broadway Ave., 3rd/4th Floor, Los Angeles, CA 90031-0061 | 2019-11-07 |
| 1790327179 | Otc LLC | Clinic/Center | 6607 N Figueroa St Apt 10, Los Angeles, CA 90042-2037 | 2019-10-17 |
| 1144787961 | Los Angeles County Department of Mental Health | Clinic/Center | 813 E 4th Pl, Los Angeles, CA 90013-1805 | 2019-02-28 |
| 1427515246 | Los Angeles County Department of Mental Health | Clinic/Center | 11110 W Pico Blvd, Los Angeles, CA 90064-1709 | 2019-02-28 |
| 1295290658 | Thrive Therapy, Inc. | Clinic/Center | 12240 Venice Blvd Ste 26, Los Angeles, CA 90066-3891 | 2019-02-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90026 |
Please comment or provide details below to improve the information on GATEWAYS FCTP.
| 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.