NPIMap

Organization Active NPI

Altamed Health Services Corp

Doing business as AltaMed Dental Group - Santa Ana, Sunflower

  • Federally Qualified Health Center (FQHC)
  • Santa Ana, CA
National Provider Identifier
1295574648
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ALTAMED HEALTH SERVICES CORP
Doing business as
AltaMed Dental Group - Santa Ana, Sunflower
Practice address
3601 W Sunflower Ave
Rooms 200-242, 245-251, 253, & 255-261
Santa Ana, CA 92704-7916
Phone
(844) 434-3114
Fax
(714) 638-5991
NPI assigned
May 23, 2024
Last updated
Jul 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

3601 W Sunflower Ave
Rooms 200-242, 245-251, 253, & 255-261
Santa Ana, CA 92704-7916

Mailing address

2040 Camfield Ave.
Los Angeles, CA 90040-1501
Phone (323) 622-2429

Other names 1

  • AltaMed Dental Group - Santa Ana, Sunflower Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Altamed Senior Clinic117 organizations share this tax ID, including this one

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

Locations

3601 W Sunflower Ave
Rm 200242
Santa Ana, CA 92704
Phone (844) 434-3114

3601 W Sunflower Ave
Ste 200
Santa Ana, CA 92704
Phone (714) 338-1115

NPI Registry JSON

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1295574648",
    "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": "323-622-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W SUNFLOWER AVE",
            "address_2": "ROOMS 200-242, 245-251, 253, & 255-261",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047916",
            "telephone_number": "844-434-3114",
            "fax_number": "714-638-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMED HEALTH SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "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"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AltaMed Dental Group - Santa Ana, Sunflower",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AltaMed Dental Group - Santa Ana, Sunflower",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.