Organization Active NPI

Altamed Health Service Corp

  • Community Health Worker
  • Santa Ana, CA
National Provider Identifier
1659773968
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
ALTAMED HEALTH SERVICE CORP
Practice address
2720 S Bristol St Ste 110
Santa Ana, CA 92704-6210
Phone
(714) 426-5222
Fax
(714) 557-2251
NPI assigned
Sep 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Mrs. Maria Correa
Title
Assistant Manger-Oc Women's Health
Phone
(714) 426-5117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

2720 S Bristol St Ste 110
Santa Ana, CA 92704-6210

Mailing address

2720 S Bristol St Ste 110
Santa Ana, CA 92704-6210
Phone (714) 426-5222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1659773968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 S BRISTOL ST STE 110",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046210",
            "telephone_number": "714-426-5222",
            "fax_number": "714-557-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 S BRISTOL ST STE 110",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046210",
            "telephone_number": "714-426-5222",
            "fax_number": "714-557-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMED HEALTH SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "ASSISTANT MANGER-OC WOMEN'S HEALTH",
        "authorized_official_telephone_number": "714-426-5117",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.