NPIMap

Organization Active NPI

Alamitos Ipa

  • Health Maintenance Organization
  • Lakewood, CA
National Provider Identifier
1376583344
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
011549 Issued in CA
Legal business name
ALAMITOS IPA
Practice address
4909 Lakewood Blvd
Ste. 200
Lakewood, CA 90712-2405
Phone
(562) 602-1563
Fax
(562) 531-0937
NPI assigned
Jun 7, 2006
Reactivated
Sep 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Authorized official

Name
Christen Reynolds, MBA
Title
Director of Finance
Phone
(562) 602-1563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 011549 CA Primary

Addresses

Primary practice location

4909 Lakewood Blvd
Ste. 200
Lakewood, CA 90712-2405

Mailing address

4909 Lakewood Blvd
Ste. 200
Lakewood, CA 90712-2405
Phone (562) 602-1563

National Provider Directory

National Provider Directory
Tax ID family
Alamitos Ipa5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1376583344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 LAKEWOOD BLVD",
            "address_2": "STE. 200",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122405",
            "telephone_number": "562-602-1563",
            "fax_number": "562-531-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 LAKEWOOD BLVD",
            "address_2": "STE. 200",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122405",
            "telephone_number": "562-602-1563",
            "fax_number": "562-531-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMITOS IPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2012-09-26",
        "deactivation_date": "2009-10-28",
        "reactivation_date": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "CHRISTEN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "562-602-1563",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "011549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.