ALTAMED HEALTH SERVICES CORP (NPI# 1134398043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134398043 |
| Entity Type | Organization |
| Organization Name | ALTAMED HEALTH SERVICES CORP |
| Other Organization Name | CLINICA MEDICA DE ELLA |
| Practice Address |
2223 W 1st St Santa Ana CA 92703-3505 |
| Mailing Address |
500 Citadel Dr Suite 490 Los Angeles CA 90040-1575 |
| Practice Telephone | 7145000320 |
| Practice Fax Number | 3238897843 |
| Mailing Telephone | 3237258751 |
| Mailing Fax Number | 3238897843 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |
| Authorized Official Name | MR. JOSE ESPARZA (VP FINANCE, CFO) |
| Authorized Official Telephone | 3237258751 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALTAMED HEALTH SERVICES CORP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Clinica Medica De Ella | Other Name - Individual/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 |
2223 W 1ST ST |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92703-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356519664 | Del Carmen Perez | Case Manager/Care Coordinator | 2223 W 1st St, Santa Ana, CA 92703-3505 | 2008-02-20 |
| 1225208473 | Nora Edelmira Monge | Case Manager/Care Coordinator | 2223 W 1st St, Santa Ana, CA 92703-3505 | 2008-03-04 |
| 1043489958 | Altamed Health Services Corp | Clinic/Center | 2223 W 1st St, Santa Ana, CA 92703-3505 | 2008-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316580806 | F Rodef & B Yousefi Dental Corporation | Dentist | 100 N. Harbor Blvd Suite #c-7, Santa Ana, CA 92703 | 2019-10-28 |
| 1699283465 | Vinnie Quan Nguyen | Pharmacist | 941 Fair Way, Santa Ana, CA 92703 | 2018-01-16 |
| 1174058978 | Caroline Jo Dimatteo | Physician Assistant | 901 W Civic Center Clinic, Ste 120, Santa Ana, CA 92703 | 2017-04-29 |
| 1568823342 | Reina M Escolero | Registered Nurse | 1708 W. 12th Street, Santa Ana, CA 92703 | 2016-03-08 |
| 1528427994 | Nathaniel Gandy Lane | Physician Assistant | 420 S. Bristol St., Santa Ana, CA 92703 | 2016-02-15 |
| 1285035626 | Elizabeth Nieto Patino | Specialist/Technologist | 4201 W 5th St #211, Santa Ana, CA 92703 | 2014-09-04 |
| 1790113108 | Monica Susie Kim | Acupuncturist | 100 N Harbor Blvd., Unit C-7, Santa Ana, CA 92703 | 2013-10-22 |
| 1730525833 | Ryan Hoida | Counselor | 1202 W Civic Dr, Santa Ana, CA 92703 | 2013-05-15 |
| 1861777625 | Minh Pharmacy | Pharmacy | 5110 Westminster Ave #b, Santa Ana, CA 92703 | 2011-10-12 |
| 1518241868 | James Shon | Acupuncturist | 1111 N. Bristol #j, Santa Ana, CA 92703 | 2011-10-05 |
| Find all providers in zip 92703 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790150209 | Community Outreach Medical Services | Clinic/Center | 1200 N Tustin Ave Ste 130, Santa Ana, CA 92705-3501 | 2015-12-09 |
| 1013138486 | Birthchoice Health Clinic | Clinic/Center | 415 N Sycamore St, St. 200, Santa Ana, CA 92701-4607 | 2007-05-01 |
| 1578079919 | Behavioral Health Services Inc. | Clinic/Center | 2015 W 1st St Ste L, Santa Ana, CA 92703-3516 | 2017-12-21 |
| 1295152668 | Community Outreach Medical Services | Clinic/Center | 1200 N Tustin Ave, Suite 130, Santa Ana, CA 92705-3508 | 2014-03-24 |
| 1295170546 | Birth Choice Pregnancy Centers, Inc | Clinic/Center | 1100 N Tustin Ave, #d-1, Santa Ana, CA 92705-3509 | 2013-04-30 |
| 1295039923 | Leslie Matthews Casserly | Clinic/Center | 415 N Sycamore St, Suite 200, Santa Ana, CA 92701-4607 | 2011-01-10 |
| 1053580175 | Altamed Health Services Corp | Clinic/Center | 1227 W 17th St, Santa Ana, CA 92706-3455 | 2008-02-22 |
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| Find all providers with the same taxonomy | ||||
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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.