Organization Active NPI

Alta Salud

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1467333732
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ALTA SALUD
Practice address
12099 W Washington Blvd Ste 412
Los Angeles, CA 90066-2620
Phone
(310) 398-6706
Fax
(310) 398-5189
NPI assigned
Sep 11, 2025
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Jose Villagomez, MDNPI 1699717462
Title
President
Phone
(310) 398-6706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

12099 W Washington Blvd Ste 412
Los Angeles, CA 90066-2620

Mailing address

12099 W Washington Blvd Ste 412
Los Angeles, CA 90066-2620
Phone (310) 398-6706

National Provider Directory

National Provider Directory

Locations

12099 W Washington Blvd
Ste 412
Los Angeles, CA 90066
Phone (310) 398-6706

Practitioners & affiliated clinicians

Practitioners 1

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": "1757548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1467333732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12099 W WASHINGTON BLVD STE 412",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900662620",
            "telephone_number": "310-398-6706",
            "fax_number": "310-398-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12099 W WASHINGTON BLVD STE 412",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900662620",
            "telephone_number": "310-398-6706",
            "fax_number": "310-398-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA SALUD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "VILLAGOMEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-398-6706",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.