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

Active since November 21, 2023CLIA 05D1030503 · Waiver
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: August 16, 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 holds a CLIA Waiver certificate valid through September 7, 2026 and 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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1030503

Gateway Medicor - Rancho Cucamonga Inc · Rancho Cucamonga, CA
Active · expires Sep 7, 2026
CLIA Number05D1030503
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2024
Certificate Expiration DateSeptember 7, 2026
Laboratory DirectorMark L. Shiu
Laboratory Phone(909) 466-6310
Laboratory LocationGateway Medicor - Rancho Cucamonga Inc10995 Eucalyptus St, #102, Rancho Cucamonga, CA 91730
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

Does Gateway Medicor - Rancho Cucamonga Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1030503) is associated with this NPI, valid through September 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.