NPIMap

Organization Active NPI

Altamed Health Services Corp

  • Primary Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1003095464
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
EAP11568F Issued in CA
Legal business name
ALTAMED HEALTH SERVICES CORP
Practice address
500 Citadel Dr
Ste 490
Los Angeles, CA 90040
Phone
(323) 725-8751
Fax
(323) 889-7399
NPI assigned
Nov 1, 2007
Organization subpart
Yes
Parent organization
ALTAMED HEALTH SERVICES CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jose Esparza
Title
VP of Finance and Cfo
Phone
(323) 725-8751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X EAP11568F CA Primary

Addresses

Primary practice location

500 Citadel Dr
Ste 490
Los Angeles, CA 90040

Mailing address

500 Citadel Dr
Ste 490
Los Angeles, CA 90040
Phone (323) 725-8751

Other identifiers 1

IdentifierTypeStateIssuer
EAP11568FOtherCAEAPC PROGRAM

Other names 1

  • AltaMed Medical Group EAPC Prop 99 Other name

National Provider Directory

National Provider Directory
Tax ID family
Altamed Health Service Corpotation117 organizations share this tax ID, including this one
Part of
Altamed Health Service Corpotation

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1003095464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CITADEL DR",
            "address_2": "STE 490",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90040",
            "telephone_number": "323-725-8751",
            "fax_number": "323-889-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CITADEL DR",
            "address_2": "STE 490",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90040",
            "telephone_number": "323-725-8751",
            "fax_number": "323-889-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMED HEALTH SERVICES CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALTAMED HEALTH SERVICES CORP",
        "enumeration_date": "2007-11-01",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "ESPARZA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "VP OF FINANCE AND CFO",
        "authorized_official_telephone_number": "323-725-8751",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "EAP11568F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EAPC PROGRAM",
            "identifier": "EAP11568F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AltaMed Medical Group EAPC Prop 99",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.