NPIMap

Organization Active NPI

Altamed Health Services Corp

Doing business as AltaMed PACE - Walnut Park

  • PACE Provider Organization
  • Walnut Park, CA
National Provider Identifier
1033813589
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
ALTAMED HEALTH SERVICES CORP
Doing business as
AltaMed PACE - Walnut Park
Practice address
7716 Alameda St
Walnut Park, CA 90255-3745
Phone
(323) 765-6166
Fax
(323) 597-2193
NPI assigned
Mar 29, 2023
Last updated
Mar 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Dr. Robert Uy Young
Title
Vice President, PFS
Phone
(323) 622-2429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

7716 Alameda St
Walnut Park, CA 90255-3745

Mailing address

2040 Camfield Ave.
Los Angeles, CA 90040
Phone (323) 622-2429

Other names 1

  • AltaMed PACE - Walnut Park Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2283992Altamed Pace- Walnut Park7716 Alameda Street, Huntington Park, CA 90255Certificate of waiverJun 14, 2027

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 18

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

View all 18

Locations

7716 S Alameda St
Walnut Park, CA 90255
Phone (323) 277-7678

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

  • Sandra Guzman
    • Licensed Vocational Nurse
    • Huntington Park, CA
    • NPI 1407617244
    NPD

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1033813589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 CAMFIELD AVE.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90040",
            "telephone_number": "323-622-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7716 ALAMEDA ST",
            "city": "WALNUT PARK",
            "state": "CA",
            "postal_code": "902553745",
            "telephone_number": "323-765-6166",
            "fax_number": "323-597-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMED HEALTH SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "UY",
        "authorized_official_title_or_position": "VICE PRESIDENT, PFS",
        "authorized_official_telephone_number": "323-622-2429",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AltaMed PACE - Walnut Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.