Altamed Health Services Corp

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

FHC71020F Issued in CA

Legal business name

ALTAMED HEALTH SERVICES CORP

Doing business as

AltaMed Medical and Dental Group - Bell

Practice address

6901 Atlantic Ave
Bell, CA 90201-3646

Phone

(323) 562-6700

Fax

(323) 562-9208

NPI assigned

May 10, 2007

Last updated

Sep 11, 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, MD

Title

VP, Patient Financial Services

Phone

(323) 622-2429

Specialties & licenses 1

Addresses

Other names 1

• AltaMed Medical and Dental Group - Bell Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1518171016. Details of each certification follow.

• CCN 551947 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 551947

Legal name

ALTAMED MEDICAL & DENTAL GROUP- BELL

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Dec 22, 2003

Last certification

Dec 22, 2003

Ownership / control type

For profit – corporation

Facility address

6901 South Atlantic Blvd
Bell, CA 90201

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1518171016",
    "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": "323-725-8751",
            "fax_number": "323-889-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 ATLANTIC AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902013646",
            "telephone_number": "323-562-6700",
            "fax_number": "323-562-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMED HEALTH SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2019-09-11",
        "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": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "FHC71020F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AltaMed Medical and Dental Group - Bell",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AltaMed Medical and Dental Group - Bell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abner Mahboobian Dental 2 Corporation
• Lucy Achjian
• John Steven Aguas Lizano
• Alberto Aguilar, R.N.P
• Zainab Ali-Rubaie, DDS
• Altamed Health Services Corp.
• Elizabeth Altamirano
• Sergio Mijail Alvarez, ND
• Remedios A Amigon, DDS
• Ajaykumar Narendra Amin, D.O.

• Federally Qualified Health Center (FQHC) in Bell, CA
• Providers in Bell, 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 Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.