Organization Active NPI

Altamed Health Services Corp.

Doing business as AltaMed Grand Plaza ADHC

  • Adult Day Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1023212669
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
ADUF0155F Issued in CA
Legal business name
ALTAMED HEALTH SERVICES CORP.
Doing business as
AltaMed Grand Plaza ADHC
Practice address
701 W Cesar E Chavez Ave
Los Angeles, CA 90012-2104
Phone
(213) 217-5300
Fax
(213) 217-5396
NPI assigned
Jun 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Peter M Feldman, MFT
Title
Director, Client Services
Phone
(323) 889-7349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X ADUF0155F CA Primary

Addresses

Primary practice location

701 W Cesar E Chavez Ave
Los Angeles, CA 90012-2104

Mailing address

500 Citadel Dr Ste 490
Los Angeles, CA 90040-1589
Phone (323) 889-7349

Other identifiers 1

IdentifierTypeStateIssuer
ADUF0155FMedicaidCA

Other names 1

  • AltaMed Grand Plaza ADHC 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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023212669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CITADEL DR STE 490",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900401589",
            "telephone_number": "323-889-7349",
            "fax_number": "323-889-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W CESAR E CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122104",
            "telephone_number": "213-217-5300",
            "fax_number": "213-217-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMED HEALTH SERVICES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR, CLIENT SERVICES",
        "authorized_official_telephone_number": "323-889-7349",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "ADUF0155F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADUF0155F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AltaMed Grand Plaza ADHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.