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

Practice address

6901 Atlantic Ave
Bell, CA 90201-3646

Phone

(323) 562-6700

Fax

(323) 562-9208

NPI assigned

May 10, 2007

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 identifiers 1

Other names 1

• AltaMed Medical and Dental Group - Bell Doing business as

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC71020F",
            "state": "CA"
        }
    ],
    "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"
        }
    ]
}

• 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.

• All providers in Bell, CA
• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.