Altamed Health Services Corp

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

ALTAMED HEALTH SERVICES CORP

Doing business as

AltaMed Medical Group- Montebello

Practice address

2321 W Whittier Blvd
Montebello, CA 90640-3006

Phone

(323) 724-5232

Fax

(323) 724-5236

NPI assigned

Apr 11, 2012

Last updated

Aug 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert U. Young, M.D.

Title

VP, Patient Financial Services

Phone

(323) 622-2429

Specialties & licenses 1

Addresses

Other names 1

• AltaMed Medical Group- Montebello Doing business as

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1457617755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 CAMFIELD AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900401501",
            "telephone_number": "323-622-2429",
            "fax_number": "323-889-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403006",
            "telephone_number": "323-724-5232",
            "fax_number": "323-724-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMED HEALTH SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "U.",
        "authorized_official_title_or_position": "VP, PATIENT FINANCIAL SERVICES",
        "authorized_official_telephone_number": "323-622-2429",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AltaMed Medical Group- Montebello",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AltaMed Medical Group- Montebello",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mir Basharat Ali, M.D.
• Bahar Tina Alidad, PHARM.D., APH
• Zabyour Aliksanian, NP
• Albert Carlos Almada, D.D.S
• Altamed Health Network, Senior Services Plan, Inc.
• Altamed Health Services Corp
• Daiana Alvarado
• Patricia Alvarado, M.A.
• Patricia M Alvarado, M.D.
• Maria Martha Alvarez Arriaga

• Federally Qualified Health Center (FQHC) in Montebello, CA
• Providers in Montebello, CA by specialty
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.