NPIMap

Organization Active NPI

Altamed Health Services Corp.

Doing business as AltaMed Golden Age ADHC

  • Adult Day Care Clinic/Center
  • Lynwood, CA
National Provider Identifier
1396949939
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
ADUF0030G Issued in CA
Legal business name
ALTAMED HEALTH SERVICES CORP.
Doing business as
AltaMed Golden Age ADHC
Practice address
3820 Martin Luther King Jr Blvd
Lynwood, CA 90262-3625
Phone
(310) 632-0415
Fax
(310) 605-5438
NPI assigned
Jun 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. Peter M Feldman, MFT
Title
Director, Client Services
Phone
(323) 889-7349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X ADUF0030G CA Primary

Addresses

Primary practice location

3820 Martin Luther King Jr Blvd
Lynwood, CA 90262-3625

Mailing address

500 Citadel Dr Ste 490
Los Angeles, CA 90040-1589
Phone (323) 889-7349

Other identifiers 1

IdentifierTypeStateIssuer
ADUF0030GMedicaidCA

Other names 1

  • AltaMed Golden Age ADHC Doing business as

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

Locations

3820 Martin Luther King Jr Blvd
Lynwood, CA 90262
Phone (310) 632-0415

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396949939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CITADEL DR STE 490",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900401589",
            "telephone_number": "323-889-7349",
            "fax_number": "323-889-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 MARTIN LUTHER KING JR BLVD",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623625",
            "telephone_number": "310-632-0415",
            "fax_number": "310-605-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMED HEALTH SERVICES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR, CLIENT SERVICES",
        "authorized_official_telephone_number": "323-889-7349",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "ADUF0030G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADUF0030G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AltaMed Golden Age ADHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynwood, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.