Altamed Health Services Corp

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

ALTAMED HEALTH SERVICES CORP

Doing business as

AltaMed Medical Group-Anaheim, Lincoln

Practice address

1814 W Lincoln Ave
Anaheim, CA 92801

Phone

(714) 780-5690

Fax

(714) 563-9142

NPI assigned

Jan 14, 2009

Last updated

Jul 31, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert U. Young, M.D.

Title

VP, Patient Financial Services

Phone

(323) 622-2429

Specialties & licenses 1

Addresses

Other names 1

• AltaMed Medical Group-Anaheim, Lincoln Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Altamed Health Services Corp

  dba AltaMed Medical and Dental Group-East LA/Whittier West(Boyle Heights)

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1255542601

  O20181112000253

  Same enrollment

Locations

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1063659985",
    "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": "900401501",
            "telephone_number": "714-399-4999",
            "fax_number": "714-780-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 W LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "714-780-5690",
            "fax_number": "714-563-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMED HEALTH SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2018-07-31",
        "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",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AltaMed Medical Group-Anaheim, Lincoln",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mostafa N Alqemary, PHARMACIST
• Dana Alsadi
• Sarah E Alsing, MS, RD, CSR
• Alexander Alsoufiev, M.D.
• Altamed
• Altamed Health Services Corp (AltaMed Medical Group-Anaheim Lincoln, West)
• Altamed Health Services Corp (AltaMed Pharmacy Anaheim)
• Altamed Health Services Corp (AltaMed Urgent Care-Anaheim)
• Altamed Health Services Corp (Altamed Medical and Dental Group-Anaheim, Lincoln)
• Altamed Health Services Corp (AltaMed PACE Anaheim)

• Community Health Clinic/Center in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.