Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shane Gately

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104568849

Shane Gately is an Emergency Medicine in Temecula, California. Graduated from Georgetown University School of Medicine in 2022, 4 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Trained at
Georgetown University School of Medicine
Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

31700 Temecula Pkwy Ste 1
Temecula, CA 92592-5896
Phone: (951) 331-2535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A190091 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104568849
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 12, 2022
Last updated in NPPESMarch 30, 2025
Certification dateMarch 30, 2025
Mailing address31700 Temecula Pkwy Ste 1, Temecula, CA 92592-5896

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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