ALTAMED HEALTH SERVICES CORP.


Address: 5425 Pomona Blvd, Los Angeles, CA 90022-1716
Phone: 3237280411

ALTAMED HEALTH SERVICES CORP. (NPI# 1184835530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184835530
Entity Type Organization
Organization Name ALTAMED HEALTH SERVICES CORP.
Other Organization Name ALTAMED PACE-EAST LOS ANGELES
Practice Address 5425 Pomona Blvd
Los Angeles
CA 90022-1716
Mailing Address 2040 Camfield Ave
Los Angeles
CA 90040-1501
Practice Telephone 3237280411
Practice Fax Number 3237281535
Mailing Telephone 3238897349
Mailing Fax Number 3238897843
Enumeration Date 2007-05-25
Last Update Date 2019-08-22
Authorized Official Name ROBERT U. YOUNG (VP, PATIENT FINANCIAL SERVICES)
Authorized Official Telephone 3236222429
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251T00000X PACE Provider Organization CMM70726F CA Agencies

Other Provider Identifier

State Issuer Identifier Type Code
CA CMM70726F 05

Other Provider/Organization Names

Other Name Type Code
AltaMed PACE-East Los Angeles Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1194999342 Altamed Health Services Corp. Clinic/Center 10418 E. Valley Blvd, El Monte, CA 91731 2008-04-18
1952588691 Altamed Health Services Corp. Clinic/Center 6901 Atlantic Ave, Bell, CA 90201-3646 2008-01-24
1477737385 Altamed Health Services Corp. Clinic/Center 5425 Pomona Blvd, Los Angeles, CA 90022-1716 2007-12-27
1396949939 Altamed Health Services Corp. Clinic/Center 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 2007-06-14
1205030848 Altamed Health Services Corp. Clinic/Center 6330 Rugby Ave Ste 200, Huntington Park, CA 90255-4066 2007-06-14
1023212669 Altamed Health Services Corp. Clinic/Center 701 W Cesar E Chavez Ave, Los Angeles, CA 90012-2104 2007-06-14
1679789051 Altamed Health Services Corp. Clinic/Center 5000 W Sunset Blvd, Los Angeles, CA 90027-5861 2007-05-15
1629283197 Altamed Health Services Corp. Clinic/Center 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2007-05-10

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ALTAMED HEALTH SERVICES CORPORATION 2040 Camfield Avenue, Los Angeles, CA 90040-1502

Office Location

Street Address 5425 POMONA BLVD
City LOS ANGELES
State CA
Zip Code 90022-1716

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205913753 Lloyd Eugene Johnson Internal Medicine 5425 Pomona Blvd, Los Angeles, CA 90022-1716 2006-11-01
1003417353 Gina Choo Registered Nurse 5425 Pomona Blvd, Los Angeles, CA 90022-1716 2020-11-03
1437756046 Nicole Marie Sanchez Licensed Vocational Nurse 5425 Pomona Blvd, Los Angeles, CA 90022-1716 2020-10-06
1558972679 Dinorah Dafne Ortiz Social Worker 5425 Pomona Blvd, Los Angeles, CA 90022-1716 2020-08-12
1467071316 Claudia Elizabeth Gonzalez Licensed Vocational Nurse 5425 Pomona Blvd, Los Angeles, CA 90022-1716 2020-04-10
1730729476 Maria Isabel Lamas Registered Nurse 5425 Pomona Blvd, Los Angeles, CA 90022-1716 2020-01-10
1528605029 Lollaly Lee Registered Nurse 5425 Pomona Blvd, Los Angeles, CA 90022-1716 2019-12-03
1407498033 Maureen Halderson Registered Nurse 5425 Pomona Blvd, Los Angeles, CA 90022-1716 2019-10-15
1053960278 Diane Narda Odriozola Nuno Licensed Vocational Nurse 5425 Pomona Blvd, Los Angeles, CA 90022-1716 2019-09-10
1578117073 Jeannette Figueroa Licensed Vocational Nurse 5425 Pomona Blvd, Los Angeles, CA 90022-1716 2019-08-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700405701 Altamed Health Services Corp Pharmacy 972 Goodrich Blvd Rm 100, Los Angeles, CA 90022 2020-04-10
1033699426 Reachwell Home Health Inc Home Health 236 1/4 S Atlantic Blvd, Los Angeles, CA 90022 2018-08-15
1326528704 Shelli Hernandez Community Health Worker Enki Health & Research Systems Inc., 1000 Goodrich Blvd., Commerce, CA 90022 2018-08-15
1477071660 East Los Angeles Womens Center Counselor 1431 S. Atlantic Blvd, Los Angeles, CA 90022 2017-09-07
1467974824 Ena Vilma Hernandez Registered Nurse 245 S Fetterly St, Los Angeles, CA 90022 2017-07-07
1437688843 Maud D Legaspi Social Worker 5425 E. Pomona Blvd, Los Angeles, CA 90022 2017-06-08
1548793920 Harbor Chiropractic, Inc., A Bahan Company Chiropractor 5301 Whittier Blvd, Atrium Lower Level, Los Angeles, CA 90022 2017-04-04
1326590423 Via Care Community Health Center Clinic/Center 501 S. Woods Ave, Los Angeles, CA 90022 2016-10-25
1780057950 Monica Poomiwatracanont Pharmacist 5176 E. Whittier Blvd., Los Angeles, CA 90022 2015-11-10
1609277433 Ethan C. A Lee Dental Inc. Dentist 6046 Whittier Blvd., Los Angeles, CA 90022 2014-09-11
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Taxonomy Information

Taxonomy Code 251T00000X
Grouping Agencies
Classification PACE Provider Organization

Taxonomy Definition

A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346534443 Remah Health Services, Inc. PACE Provider Organization 1524 E 103rd St, Los Angeles, CA 90002-3307 2011-06-06
1215113964 Complete Care Community Health Center, Inc PACE Provider Organization 2928 E Cesar E Chavez Ave, Los Angeles, CA 90033-3110 2008-01-11
1407278393 Altamed Health Services Corp PACE Provider Organization 1776 E Century Blvd, Los Angeles, CA 90002-3050 2014-01-10
1952532384 Altamed Health Services Corp PACE Provider Organization 701 W Cesar E Chavez Ave, Suite 201, Los Angeles, CA 90012-2104 2009-08-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871191932 One Family Health Enterprise PACE Provider Organization 206 E 185th St, Carson, CA 90746-1706 2020-10-12
1003445073 North East Medical Services PACE Provider Organization 728 Pacific Ave Ste 201, San Francisco, CA 94133-4449 2020-04-02
1508422775 Tri Starr Home Care LLC PACE Provider Organization 1669 Flanigan Dr., Unit H, San Jose, CA 95121 2019-05-14
1669037362 Medrev PACE Provider Organization 558 Chelsea Way, Corona, CA 92879-5880 2019-05-08
1164980439 Tri Starr Home Care, LLC PACE Provider Organization 1609 Flanigan Dr., Unit H, Unit H, San Jose, CA 95122 2019-03-06
1063988384 Sequoia Pace, LLC. PACE Provider Organization 1649 Van Ness Ave, Fresno, CA 93721-1128 2018-10-15
1457838955 La Coast Pace, LLC PACE Provider Organization 1220 E 4th St, Long Beach, CA 90802-1831 2018-07-26
1194202697 Pacific Pace, LLC PACE Provider Organization 50 Alessandro Pl Ste A20, Pasadena, CA 91105-3149 2018-07-26
1356830947 Stockton Pace PACE Provider Organization 582 E. Harding Way, Stockton, CA 95204 2018-05-09
1063901767 Humboldt Mobile Massage, Inc PACE Provider Organization 1737 Margaret Ln, Arcata, CA 95521-6838 2018-05-08
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Competitor

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City LOS ANGELES
Zip Code 90022

Improve Information

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Dataset Information

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.

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