Active NPI
Altamed Health Services Corp
Doing business as AltaMed Medical Group-Anaheim Lincoln, West
- Community Health Clinic/Center
- Anaheim, CA
National Provider Identifier
1235376047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- ALTAMED HEALTH SERVICES CORP
- Doing business as
- AltaMed Medical Group-Anaheim Lincoln, West
- Practice address
- 1820 W Lincoln Ave
Anaheim, CA 92801-6730 - Phone
- (714) 635-0593
- Fax
- (714) 563-9142
- NPI assigned
- Jan 15, 2009
- Last updated
- Aug 7, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | NU | Primary |
Addresses
Primary practice location
1820 W Lincoln Ave
Anaheim, CA 92801-6730
Mailing address
2040 Camfield Ave
Los Angeles, CA 90040-1501
Phone (714) 635-0593
Other names 1
- AltaMed Medical Group-Anaheim Lincoln, West
National Provider Directory
National Provider DirectoryLocations
1820 W Lincoln Ave
Anaheim, CA 92801
Phone (714) 635-0593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565136000000",
"number": "1235376047",
"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": "714-635-0593",
"fax_number": "714-563-9142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 W LINCOLN AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928016730",
"telephone_number": "714-635-0593",
"fax_number": "714-563-9142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTAMED HEALTH SERVICES CORP",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-15",
"last_updated": "2019-08-07",
"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, West",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "AltaMed Medical Group-Anaheim Lincoln, West",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anaheim, CA
- Dana Alsadi
- Sarah E Alsing, MS, RD, CSR
- Alexander Alsoufiev, M.D.
- Altamed
- Altamed Health Services Corp (AltaMed Medical Group-Anaheim, Lincoln)
- 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)
- Altamed Health Services Corp (AltaMed Medical and Dental Group-Anaheim)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.