ALTAMED HEALTH SERVICES CORP (NPI# 1073809042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073809042 |
Entity Type | Organization |
Organization Name | ALTAMED HEALTH SERVICES CORP |
Other Organization Name | ALTAMED SBC EL MONTE CLINIC |
Practice Address |
10418 Valley Blvd Suite A El Monte CA 91731-3600 |
Mailing Address |
2040 Camfiled Avenue Los Angeles CA 90040-1501 |
Practice Telephone | 6264538466 |
Practice Fax Number | 6264538465 |
Mailing Telephone | 3236222429 |
Mailing Fax Number | 3238897399 |
Enumeration Date | 2011-06-28 |
Last Update Date | 2019-08-13 |
Authorized Official Name | ROBERT U. YOUNG (VP, PATIENT FINANCIAL SERVICES) |
Authorized Official Telephone | 3236222429 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
AltaMed SBC El Monte Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871116574 | Altamed Health Services Corp | Pharmacy | 1300 S Sunset Ave Rm 100, West Covina, CA 91790-3342 | 2020-05-28 |
1487277174 | Altamed Health Services Corp | Pharmacy | 6336 Passons Blvd Rm 100, Pico Rivera, CA 90660-3355 | 2020-05-28 |
1275156960 | Altamed Health Services Corp | Pharmacy | 1900 E Slauson Ave Rm 100, Huntington Park, CA 90255-2725 | 2020-05-28 |
1538782230 | Altamed Health Services Corp | Pharmacy | 3945 Whittier Blvd Rm 100, Los Angeles, CA 90023-2440 | 2020-05-28 |
1700405701 | Altamed Health Services Corp | Pharmacy | 972 Goodrich Blvd Rm 100, Los Angeles, CA 90022 | 2020-04-10 |
1720607997 | Altamed Health Services Corp | Pharmacy | 8627 Atlantic Ave Rm 100, South Gate, CA 90280-3501 | 2020-04-08 |
1942836424 | Altamed Health Services Corp | Pharmacy | 2720 S Bristol St Rm 100, Santa Ana, CA 92704-6207 | 2020-03-17 |
1356975239 | Altamed Health Services Corp | Pharmacy | 1325 N Anaheim Blvd, Suite 102, Anaheim, CA 92801-1202 | 2020-02-28 |
1609409077 | Altamed Health Services Corp | Pharmacy | 2100 W 3rd St Ste 190, Los Angeles, CA 90057-1999 | 2020-02-13 |
1902453731 | Altamed Health Services Corp | Clinic/Center | 2100 W 3rd St Ste 400, Los Angeles, CA 90057-2290 | 2019-08-26 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | ALTAMED HEALTH SERVICES CORPORATION | 2040 Camfield Avenue, Los Angeles, CA 90040-1502 |
Street Address |
10418 VALLEY BLVD SUITE A |
City | EL MONTE |
State | CA |
Zip Code | 91731-3600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699856625 | Cristian Rico | Family Medicine | 10418 Valley Blvd, Suite B, El Monte, CA 91731-3600 | 2006-10-17 |
1184280992 | Marisela Elizabeth Garcia | Licensed Vocational Nurse | 10418 Valley Blvd, El Monte, CA 91731-3600 | 2019-05-16 |
1619434297 | Juan Carlos Leyva | Case Manager/Care Coordinator | 10418 Valley Blvd, El Monte, CA 91731-3600 | 2019-03-01 |
1679037477 | Salvador Castillo | Dietitian, Registered | 10418 Valley Blvd, El Monte, CA 91731-3600 | 2019-01-25 |
1396218442 | Celine Cheng | Dietitian, Registered | 10418 Valley Blvd, El Monte, CA 91731-3600 | 2019-01-10 |
1285105338 | Jazmin Anahi Landeros | Case Manager/Care Coordinator | 10418 Valley Blvd, El Monte, CA 91731-3600 | 2018-12-16 |
1356844674 | Yesenia Reyes | Nurse Practitioner | 10418 Valley Blvd, El Monte, CA 91731-3600 | 2018-03-13 |
1881193555 | Jasmine Tuyet Dinh | Nurse Practitioner | 10418 Valley Blvd, El Monte, CA 91731-3600 | 2018-02-07 |
1811401557 | Madeleine Matilde Ayllon | Nurse Practitioner | 10418 Valley Blvd, El Monte, CA 91731-3600 | 2017-11-16 |
1912424144 | Miriam Rios | Social Worker | 10418 Valley Blvd, El Monte, CA 91731 | 2017-08-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154965994 | Anahi Mora | Case Manager/Care Coordinator | 3629 Santa Anita Ave, El Monte, CA 91731 | 2019-11-05 |
1346882321 | Rosemary Pespisa | Technician | 10558 Emery St., El Monte, CA 91731 | 2019-10-11 |
1962058123 | Maria Jesusa Gabriel | Licensed Vocational Nurse | 11041 E. Valley Blvd., El Monte, CA 91731 | 2019-08-14 |
1346720679 | Ivan Bustamante | Counselor | 11429 Valley Boulevard, El Monte, Ca 91731, El Monte, CA 91731 | 2018-08-16 |
1891213229 | Abbye Williams | Counselor | 11100 Valley Blvd Suite 116, El Monte, CA 91731 | 2017-09-06 |
1215467279 | All Health Alliance Medical Group, Inc. | Physical Medicine & Rehabilitation | 10505 Valley Boulevard, #238, El Monte, CA 91731 | 2017-06-13 |
1427416486 | Mai Le | Counselor | 11041 E. Valley Blvd, El Monte, CA 91731 | 2016-02-05 |
1235526724 | Kristine Malana | Social Worker | 10418 E. Valley Blvd., Suite A, El Monte, CA 91731 | 2015-04-22 |
1376980250 | Aura Hernandez | Rehabilitation Practitioner | 9865 Baldwin Pl., El Monte, CA 91731 | 2013-05-31 |
1639411754 | Roxana Yaneth De Paz | Nurse's Aide | 10481 Valley Blvd., El Monte, CA 91731 | 2013-03-27 |
Find all providers in zip 91731 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104367572 | Center for Family Health & Education Inc | Clinic/Center | 3229 Santa Anita Ave Fl 1, El Monte, CA 91733-1359 | 2017-03-17 |
1477924520 | Community Health Alliance of Pasadena | Clinic/Center | 3703 Peck Rd, Suite A - C, El Monte, CA 91731-3543 | 2015-10-15 |
1972912236 | Central City Community Health Center, Inc. | Clinic/Center | 10050 Garvey Ave Ste 111, El Monte, CA 91733 | 2014-08-11 |
1922429349 | Community Health Alliance of Pasadena | Clinic/Center | 10127 Garvey Ave, El Monte, CA 91733-2066 | 2014-01-02 |
1982814745 | Altamed Health Services Corp | Clinic/Center | 10418 East Valley Blvd, Suite B, El Monte, CA 91731-3600 | 2007-05-23 |
1518587435 | East Valley Community Health Center, Inc. | Clinic/Center | 4368 Santa Anita Ave, El Monte, CA 91731-1606 | 2020-04-21 |
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1821697483 | North East Medical Services | Clinic/Center | 2633 San Bruno Ave, San Francisco, CA 94134-1597 | 2020-10-23 |
1508465303 | Valley Health Team, Inc | Clinic/Center | 459 W Line St Ste C, Bishop, CA 93514-3333 | 2020-10-22 |
1699373209 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 | 2020-10-15 |
1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
1134727746 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 | 2020-10-15 |
1083221451 | Harmony Health Medical Clinic and Family Resource Center | Clinic/Center | 1930 N. Beale Road, Marysville, CA 95901-6915 | 2020-09-29 |
1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.