Organization Active NPI

Joseph R Altamirano MD Inc

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1306047410
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G63870 Issued in CA
Legal business name
JOSEPH R ALTAMIRANO MD INC
Practice address
5300 Santa Monica Blvd
Suite 202
Los Angeles, CA 90029-1131
Phone
(323) 463-4411
Fax
(323) 469-4416
NPI assigned
May 29, 2007
Last updated
Sep 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Joseph R Altamirano, M.D.
Title
President
Phone
(323) 463-4411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G63870 CA Primary

Addresses

Primary practice location

5300 Santa Monica Blvd
Suite 202
Los Angeles, CA 90029-1131

Mailing address

5300 Santa Monica Blvd
Suite 202
Los Angeles, CA 90029-1131
Phone (323) 463-4411

National Provider Directory

National Provider Directory

Locations

5300 Santa Monica Blvd
Ste 202
Los Angeles, CA 90029
Phone (323) 463-4411

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.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1306047410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 SANTA MONICA BLVD",
            "address_2": "SUITE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291131",
            "telephone_number": "323-463-4411",
            "fax_number": "323-463-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 SANTA MONICA BLVD",
            "address_2": "SUITE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291131",
            "telephone_number": "323-463-4411",
            "fax_number": "323-469-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH R ALTAMIRANO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "ALTAMIRANO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-463-4411",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G63870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.