NPIMap

Organization Active NPI

Altamed

  • Health Maintenance Organization
  • Covina, CA
National Provider Identifier
1386020303
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
847492 Issued in CA
Legal business name
ALTAMED
Practice address
535 S 2ND Ave
Covina, CA 91723-3013
Phone
(626) 214-1484
NPI assigned
Jul 31, 2015
Last updated
Jul 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Authorized official

Name
Castulo De la Rocha, JD
Title
Ceo
Phone
(877) 462-2582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 847492 CA Primary

Addresses

Primary practice location

535 S 2ND Ave
Covina, CA 91723-3013

Mailing address

2040 Camfield Ave
Commerce, CA 90040-1502
Phone (323) 725-8751

National Provider Directory

National Provider Directory
Tax ID family
Altamed Health Ser117 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

NPI Registry JSON

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1386020303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 CAMFIELD AVE",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900401502",
            "telephone_number": "323-725-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 S 2ND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233013",
            "telephone_number": "626-214-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "DE LA ROCHA",
        "authorized_official_first_name": "CASTULO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-462-2582",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "847492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.