GATEWAY COMPREHENSIVE MEDICAL GROUP
NPI 1376834077
Legal Medicine in San Diego, CA

NPI Status: Active since April 28, 2011

Contact Information

995 GATEWAY CENTER WAY STE 105
SAN DIEGO, CA
ZIP 92102
Phone: (619) 264-1934

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  • Organization
  • Legal Medicine
  • CLIA Number: 05D0993864
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 04-23-2026

About GATEWAY COMPREHENSIVE MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Gateway Comprehensive Medical Group, a provider established in San Diego, California operating as a Legal Medicine. The healthcare provider is registered in the NPI registry with number 1376834077 assigned on April 2011. The practitioner's primary taxonomy code is 173000000X with license number A54452 (CA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Tarek I Hassanein Md (Md)

NPI
1376834077
Provider Name
GATEWAY COMPREHENSIVE MEDICAL GROUP
Entity Type
Organization
Location Address
995 GATEWAY CENTER WAY STE 105 SAN DIEGO, CA 92102
Location Phone
(619) 264-1934
Mailing Address
PO BOX 181770 CORONADO, CA 92178
Mailing Phone
(619) 264-1934
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-28-2011
Last Update Date
04-28-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Legal Medicine

Taxonomy Code
173000000X
Type
Other Service Providers
License No.
A54452
License State
CA
Taxonomy Description
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TAREK I HASSANEIN MD

Authorized Official Title
MD
Authorized Official Phone
(619) 264-1934

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0993864
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
April 24, 2024
Certificate Expiration Date
April 23, 2026
Laboratory Director
TAREK HASSANEIN, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Gateway Comprehensive Medical Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1376834077, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 8 → 16 → 7 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 4 + 6 + 1 + 6 + 3 + 8 + 0 + 1 + 4 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1376834077.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376834077, enumerated as an "organization" on April 28, 2011.

The provider is located at 995 GATEWAY CENTER WAY STE 105 SAN DIEGO, CA 92102 and the phone number is (619) 264-1934.

Legal Medicine with taxonomy code 173000000X.