MEDICARE: NORTHGATE CARE CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	010000374	CA
2	332BN1400X	Nursing Facility Supplies (DME)	010000374	CA
3	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	010000374	CA
4	314000000X	Skilled Nursing Facility	010000347	CA
5	314000000X	Skilled Nursing Facility		CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1189870007	OTHER	CA	SIGNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205828373
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHGATE CARE CENTER, INC.

Provider Business Mailing Address
First Line	:	40 PROFESSIONAL PARKWAY
Second Line	:
City	:	SAN RAFAEL
State	:	CA
Zip	:	94903-2703
Country	:	US
Telephone Number	:	415-479-1230
Fax Number	:	415-492-0398

Provider Business Practice Location Address
First Line	:	40 PROFESSIONAL PARKWAY
Second Line	:
City	:	SAN RAFAEL
State	:	CA
Zip	:	94903-2703
Country	:	US
Telephone Number	:	415-479-1230
Fax Number	:	415-492-0398

Authorized Official
Title or Position	:	CEO
Name	:	MR. MANEESH BANSAL
Credential	:	M.D.
Telephone Number	:	562-924-9618

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	10/14/2015

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1639506371 — SAN RAFAEL CARE CENTER, INC.
Practice Location Address:

40 PROFESSIONAL CENTER PKWY
SAN RAFAEL, CA
94903-2703

Practice Phone: 415-479-1230
Practice Fax: 415-492-0398

1689053274 — NORTHGATE POSTACUTE CARE
Practice Location Address:

40 PROFESSIONAL CENTER PARKWAY
SAN RAFAEL, CA
94903-2703

Practice Phone: 415-479-1230
Practice Fax: 562-457-5584

1790485449 — MADISON MAE WITTE COTA/L
Practice Location Address:

40 PROFESSIONAL CENTER PKWY
SAN RAFAEL, CA
94903-2703

Practice Phone: 415-479-5161
Practice Fax:

1497327092 — CHRISTINA YU
Practice Location Address:

729 FILBERT ST
SAN FRANCISCO, CA
94133-2703

Practice Phone: 628-754-8500
Practice Fax:

1689605909 — LABORATORIO CLINICO HERMNS HIKASOBE
Practice Location Address:

124 AVE ROOSEVELT
SAN JUAN, PR
00917-2703

Practice Phone: 787-754-8818
Practice Fax: 787-274-0186

Directions to “NORTHGATE CARE CENTER, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.