| Gateway Medical Group Of San Diego | |
|
752 Medical Center Ct Suite 210 Chula Vista CA 91911-6658 | |
| (619) 527-7700 | |
| (619) 527-3226 |
| Full Name | Gateway Medical Group Of San Diego |
|---|---|
| Speciality | Family Medicine |
| Location | 752 Medical Center Ct, Chula Vista, California |
| Authorized Official Name and Position | Ronald D Sanzone (PRESIDENT) |
| Authorized Official Contact | 6195277700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Medical Group Of San Diego 286 Euclid Ave Suite 207 San Diego CA 92114-3610 Ph: (619) 527-7700 | Gateway Medical Group Of San Diego 752 Medical Center Ct Suite 210 Chula Vista CA 91911-6658 Ph: (619) 527-7700 |
| NPI Number | 1568400455 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 08/19/2009 |
| Medicare PECOS PAC ID | 9830086784 |
|---|---|
| Medicare Enrollment ID | O20040303001322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568400455 | NPI | - | NPPES |
| GR0062450 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | W13278 (California) | Primary |
| Provider Name | Merritt S Matthews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720024755 PECOS PAC ID: 1456248301 Enrollment ID: I20110628000814 |
| Provider Name | Ronald D Sanzone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457393381 PECOS PAC ID: 2365339215 Enrollment ID: I20120228000217 |
| Provider Name | Joseph R Novencido |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619239118 PECOS PAC ID: 0244458701 Enrollment ID: I20150813012397 |
| Provider Name | Gilberto Pena Ledon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447598354 PECOS PAC ID: 1850669136 Enrollment ID: I20170608002121 |
| Provider Name | Sandra De Roldan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235479627 PECOS PAC ID: 4385913615 Enrollment ID: I20170629003062 |
Robert H Moon Md, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1030 White Alder Ave, Chula Vista, CA 91914 Phone: 619-800-6713 Fax: 619-503-9000 | |
Leticia Uwedjojevwe Md Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 4th Ave Ste 10, Chula Vista, CA 91910 Phone: 619-934-2215 Fax: 619-934-2340 | |
Chula Vista Family Counseling Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 248 Landis Ave, Chula Vista, CA 91910 Phone: 619-515-2562 Fax: 619-269-0115 | |
Centro De Salud De La Comunidad De San Ysidro Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1061 Tierra Del Rey, Ste 303, 304, 305, Chula Vista, CA 91910 Phone: 619-662-4100 | |
Landis Avenue Family Counseling Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 264 Landis Ave Ste 100, Chula Vista, CA 91910 Phone: 619-906-5383 Fax: 619-237-1856 | |
Sharna B Shachar M D A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 525 H St, Chula Vista, CA 91910 Phone: 619-409-9999 Fax: 619-409-9905 | |
Operation Samahan Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 480 4th Ave Ste 401, Chula Vista, CA 91910 Phone: 844-200-2426 Fax: 619-356-2726 |