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GATEWAY MEDICOR - RANCHO CUCAMONGA INC.
NPI 1932974896
Family Medicine in Rancho Cucamonga, CA

Active since November 21, 2023
10995 EUCALYPTUS ST STE 102, RANCHO CUCAMONGA, CA 91730(800) 708-3230 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gateway Medicor - Rancho Cucamonga Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GATEWAY MEDICOR - RANCHO CUCAMONGA INC. (NPI 1932974896) is a healthcare organization registered as a family medicine in Rancho Cucamonga, California and active in the NPI registry since November 2023. The organization lists Robert Elders, Secretary, as its authorized official.

NPPES Registry Identity

NPI1932974896
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGATEWAY MEDICOR - RANCHO CUCAMONGA INC.
Location Address10995 EUCALYPTUS ST STE 102Rancho Cucamonga, CA 91730-7687
Mailing Address600 City Pkwy W Fl 10Orange, CA 92868-2968 · (800) 708-3230
Phone(800) 708-3230
Organization SubpartNo
Authorized OfficialRobert EldersSecretary · (714) 788-1249
Enumeration DateNovember 21, 2023
Last NPPES UpdateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
✔ NPI 1932974896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10995 EUCALYPTUS ST STE 102, Rancho Cucamonga, CA 91730
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gateway Medicor - Rancho Cucamonga Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Gateway Medicor - Rancho Cucamonga Inc., which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Mark Shiu, DO
Family Practice
NPI 1629004478
7974 HAVEN AVE SUITE 250
Rancho Cucamonga, CA 91730
(800) 734-1733
✔ PECOS✔ Accepts Medicare0.7 mi
Heather Nenadovic, FNP
Nurse Practitioner
NPI 1477378230
7974 HAVEN AVE STE 250
Rancho Cucamonga, CA 91730
(800) 734-1733
✔ PECOS✔ Accepts Medicare0.7 mi
Johnny Dauz, FNP-C
Nurse Practitioner
NPI 1528342607
1004 W FOOTHILL BLVD STE 200
Upland, CA 91786
(909) 985-1908
✔ PECOS✔ Accepts Medicare5.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gateway Medicor - Rancho Cucamonga Inc.'s NPI number?

The NPI number for Gateway Medicor - Rancho Cucamonga Inc. is 1932974896. It was assigned to this organization in the NPPES registry on November 21, 2023.

Where is Gateway Medicor - Rancho Cucamonga Inc. located?

Gateway Medicor - Rancho Cucamonga Inc. is located at 10995 Eucalyptus St Ste 102, Rancho Cucamonga, CA 91730. The listed phone number is (800) 708-3230.

What is Gateway Medicor - Rancho Cucamonga Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gateway Medicor - Rancho Cucamonga Inc. enrolled in Medicare?

Yes. Gateway Medicor - Rancho Cucamonga Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gateway Medicor - Rancho Cucamonga Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Gateway Medicor - Rancho Cucamonga Inc., in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gateway Medicor - Rancho Cucamonga Inc. was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.