NPIMap

Organization Active NPI

Altamed Health Services Corp

Doing business as AltaMed PACE-Huntington Park

  • PACE Provider Organization
  • Huntington Park, CA
National Provider Identifier
1942431374
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
ALTAMED HEALTH SERVICES CORP
Doing business as
AltaMed PACE-Huntington Park
Practice address
1900 E Slauson Ave
Suite B
Huntington Park, CA 90255-2725
Phone
(323) 277-7678
Fax
(323) 277-7686
NPI assigned
Aug 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Authorized official

Name
Robert Young, M.D.
Title
VP, Patient Financial Service
Phone
(323) 622-2429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

1900 E Slauson Ave
Suite B
Huntington Park, CA 90255-2725

Mailing address

2040 Camfield Avenue
Los Angeles, CA 90040-1501
Phone (323) 622-2429

Other names 1

  • AltaMed PACE-Huntington Park Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Slauson Plaza Med GRP117 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

Locations

1900 E Slauson Ave
Ste B
Huntington Park, CA 90255
Phone (323) 277-7678

Practitioners & affiliated clinicians

Practitioners 41

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.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1942431374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 CAMFIELD AVENUE",
            "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": "1900 E SLAUSON AVE",
            "address_2": "SUITE B",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552725",
            "telephone_number": "323-277-7678",
            "fax_number": "323-277-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMED HEALTH SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VP, PATIENT FINANCIAL SERVICE",
        "authorized_official_telephone_number": "323-622-2429",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AltaMed PACE-Huntington Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.