NPIMap

Organization Active NPI

Altamed Health Services Corporation

Doing business as AltaMed Dental Group - Sunflower GA

  • Pediatric Dentistry
  • Santa Ana, CA
National Provider Identifier
1013746163
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ALTAMED HEALTH SERVICES CORPORATION
Doing business as
AltaMed Dental Group - Sunflower GA
Practice address
3601 W Sunflower Ave
Rooms 243-244, 252 & 254
Santa Ana, CA 92704-7916
Phone
(714) 274-0373
Fax
(323) 597-2113
NPI assigned
Jul 29, 2024
Last updated
Mar 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Robert U Young
Title
VP, Patient Financial Services
Phone
(323) 622-2429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

3601 W Sunflower Ave
Rooms 243-244, 252 & 254
Santa Ana, CA 92704-7916

Mailing address

2040 Camfield Avenue
Los Angeles, CA 90040-1501
Phone (888) 499-9303

Other names 1

  • AltaMed Dental Group - Sunflower GA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Altamed Health Ser117 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

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

View all 15

Locations

3601 W Sunflower Ave
Rm 243244
Santa Ana, CA 92704
Phone (714) 274-0373

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1013746163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 CAMFIELD AVENUE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900401501",
            "telephone_number": "888-499-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W SUNFLOWER AVE",
            "address_2": "ROOMS 243-244, 252 & 254",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047916",
            "telephone_number": "714-274-0373",
            "fax_number": "323-597-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMED HEALTH SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "VP, PATIENT FINANCIAL SERVICES",
        "authorized_official_telephone_number": "323-622-2429"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AltaMed Dental Group - Sunflower GA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.