ALTAMED HEALTH SERVICES CORP. (NPI# 1194999342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194999342 |
| Entity Type | Organization |
| Organization Name | ALTAMED HEALTH SERVICES CORP. |
| Other Organization Name | ALTAMED EL MONTE - DENTAL |
| Practice Address |
10418 E. Valley Blvd El Monte CA 91731 |
| Mailing Address |
500 Citadel Dr Suite 490 Los Angeles CA 90040-1575 |
| Practice Telephone | 3236222429 |
| Practice Fax Number | 3238897843 |
| Mailing Telephone | 3236222429 |
| Mailing Fax Number | 3238897843 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2009-04-16 |
| Authorized Official Name | MR. JOSE ESPARZA (SVP, FINANCE AND CFO) |
| Authorized Official Telephone | 3236222429 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| AltaMed El Monte - Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1184835530 | Altamed Health Services Corp. | PACE Provider Organization | 5425 Pomona Blvd, Los Angeles, CA 90022-1716 | 2007-05-25 |
| 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 |
| 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 E. VALLEY BLVD |
| City | EL MONTE |
| State | CA |
| Zip Code | 91731 |
| 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467921783 | Robert Anh Hoang, Dds, Inc. | Clinic/Center | 10643 Valley Blvd Ste Ab, El Monte, CA 91731-3634 | 2018-11-15 |
| 1558864819 | Charles Wang Dds, Professional Corporation | Clinic/Center | 4900 Peck Rd, El Monte, CA 91732 | 2018-03-13 |
| 1275031775 | R Paz Casanova A Dental Corporation | Clinic/Center | 10728 Ramona Blvd Ste D, El Monte, CA 91731-2601 | 2018-01-30 |
| 1447583661 | Andre Widodo Dds A Professional Corporation | Clinic/Center | 11635 Valley Blvd Ste E, El Monte, CA 91732-3071 | 2009-09-08 |
| 1982897039 | Sheung L Fan Dds Inc | Clinic/Center | 4770 Peck Rd, El Monte, CA 91732-1300 | 2007-08-22 |
| 1013111533 | Tessie T. Sy,dds, A Professional Corporation | Clinic/Center | 4565 Peck Rd, El Monte, CA 91732-1960 | 2007-06-11 |
| 1811026701 | Jin Wei Chu Dds Inc | Clinic/Center | 10504 Lower Azusa Rd, #100, El Monte, CA 91731-1292 | 2007-03-05 |
| 1649325820 | Nonato H. Elazegui.dmd.inc | Clinic/Center | 4565 N Peck Road, El Monte, CA 91732 | 2007-01-25 |
| 1972136877 | Kens Dental Partnership | Clinic/Center | 1928 Tyler Ave, El Monte, CA 91733-3609 | 2020-02-19 |
| 1487066890 | Synergy Dental Management, Inc | Clinic/Center | 3229 Santa Anita Ave, #b, El Monte, CA 91733-1359 | 2014-05-21 |
| Find all providers in EL MONTE | ||||
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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.