NPIMap

Organization Active NPI

Altamedix Corporation

Doing business as Altamedix Adhc

  • Adult Day Care Clinic/Center
  • Sacramento, CA
National Provider Identifier
1306051032
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ALTAMEDIX CORPORATION
Doing business as
Altamedix Adhc
Practice address
4234 N Freeway Blvd
Suite 500
Sacramento, CA 95834-1237
Phone
(916) 648-3999
Fax
(916) 648-1919
NPI assigned
May 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Miron Balyasny
Title
Administrator
Phone
(916) 648-3999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X CA Primary

Addresses

Primary practice location

4234 N Freeway Blvd
Suite 500
Sacramento, CA 95834-1237

Mailing address

4234 N Freeway Blvd
Suite 500
Sacramento, CA 95834-1237
Phone (916) 648-3999

Other identifiers 1

IdentifierTypeStateIssuer
ADU70231FMedicaidCA

Other names 1

  • ALTAMEDIX ADHC Doing business as

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
05D0987847Altamedix Adhc Day Health Center4234 North Freeway Blvd #500, Sacramento, CA 95834Certificate of waiverJun 13, 2027

National Provider Directory

National Provider Directory

Locations

4234 N Freeway Blvd
Ste 500
Sacramento, CA 95834
Phone (916) 648-3999

Practitioners & affiliated clinicians

Practitioners 2

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306051032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 N FREEWAY BLVD",
            "address_2": "SUITE 500",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341237",
            "telephone_number": "916-648-3999",
            "fax_number": "916-648-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 N FREEWAY BLVD",
            "address_2": "SUITE 500",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341237",
            "telephone_number": "916-648-3999",
            "fax_number": "916-648-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMEDIX CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALYASNY",
        "authorized_official_first_name": "MIRON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-648-3999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70231F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALTAMEDIX ADHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.