NPIMap

Organization Active NPI

Altamed Health Services Corp

  • Non-Surgical Family Planning Clinic/Center
  • E. Los Angeles, CA
National Provider Identifier
1174700710
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X
License
HAP11568F Issued in CA
Legal business name
ALTAMED HEALTH SERVICES CORP
Practice address
5427 Whittier Blvd
E. Los Angeles, CA 90022-4101
Phone
(323) 869-1900
Fax
(323) 869-5362
NPI assigned
Jan 25, 2008
Last updated
Dec 17, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ALTAMED HEALTH SERVICES CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X HAP11568F CA Primary

Addresses

Primary practice location

5427 Whittier Blvd
E. Los Angeles, CA 90022-4101

Mailing address

2040 Camfield Ave
Los Angeles, CA 90040-1501
Phone (323) 725-8751

Other identifiers 1

IdentifierTypeStateIssuer
HAP11568FMedicaidCA

Other names 1

  • AltaMed Medical Group Commerce FP Other name

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
05D0926021Altamed Medical Group, Commerce5427 Whittier Blvd, Los Angeles, CA 90022Certificate of waiverMar 11, 2027

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1174700710",
    "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": "323-725-8751",
            "fax_number": "323-889-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5427 WHITTIER BLVD",
            "city": "E. LOS ANGELES",
            "state": "CA",
            "postal_code": "900224101",
            "telephone_number": "323-869-1900",
            "fax_number": "323-869-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMED HEALTH SERVICES CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALTAMED HEALTH SERVICES CORP",
        "enumeration_date": "2008-01-25",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "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": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "CA",
            "license": "HAP11568F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAP11568F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AltaMed Medical Group Commerce FP",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "AltaMed Medical Group Commerce FP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in E. Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.