ALTAMED HEALTH SERVICES CORP. (NPI# 1205030848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205030848 |
Entity Type | Organization |
Organization Name | ALTAMED HEALTH SERVICES CORP. |
Other Organization Name | ALTAMED RUGBY PLAZA ADHC |
Practice Address |
6330 Rugby Ave Ste 200 Huntington Park CA 90255-4066 |
Mailing Address |
500 Citadel Dr Ste 490 Los Angeles CA 90040-1589 |
Practice Telephone | 3232277678 |
Practice Fax Number | 3232777686 |
Mailing Telephone | 3238897349 |
Mailing Fax Number | 3238897843 |
Enumeration Date | 2007-06-14 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. PETER M FELDMAN (DIRECTOR, CLIENT SERVICES) |
Authorized Official Telephone | 3238897349 |
Authorized Official Credential | MFT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
ADUF0117F | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | ADUF0117F | 05 |
Other Name | Type Code |
---|---|
AltaMed Rugby Plaza ADHC | Doing Business As Name - Organization |
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 |
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 |
6330 RUGBY AVE STE 200 |
City | HUNTINGTON PARK |
State | CA |
Zip Code | 90255-4066 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801910195 | Maylin Figueroa | Social Worker | 6330 Rugby Ave Ste 200, Huntington Park, CA 90255-6938 | 2007-03-19 |
1568908887 | Jannete Rodriguez | Registered Nurse | 6330 Rugby Ave Ste 200, Huntington Park, CA 90255-6938 | 2017-01-10 |
1851746689 | Judith Abarca | Licensed Vocational Nurse | 6330 Rugby Ave Ste 200, Huntington Park, CA 90255-6938 | 2016-04-29 |
1154728269 | Yanet Quintana | Licensed Vocational Nurse | 6330 Rugby Ave Ste 200, Huntington Park, CA 90255-6938 | 2014-12-04 |
1629494943 | Christine Morales | Registered Nurse | 6330 Rugby Ave Ste 200, Huntington Park, CA 90255-6938 | 2014-03-11 |
1679918809 | Darlene Campos | Case Manager/Care Coordinator | 6330 Rugby Ave Ste 200, Huntington Park, CA 90255-6938 | 2013-05-01 |
1124369335 | Warren Donald Rogers | Social Worker | 6330 Rugby Ave Ste 200, Huntington Park, CA 90255-6938 | 2013-03-13 |
1275874448 | Dolores Eleanor Williams | Registered Nurse | 6330 Rugby Ave Ste 200, Huntington Park, CA 90255-6938 | 2013-03-12 |
1902147267 | Quyen Huynh | Occupational Therapist | 6330 Rugby Ave Ste 200, Huntington Park, CA 90255-6938 | 2013-03-12 |
1306011994 | Barathi Krishnamaurthy | Family Medicine | 6330 Rugby Ave Ste 200, Huntington Park, CA 90255-6938 | 2008-04-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922659424 | Maria Hurtado | Behavior Technician | California St & Pacific Blvd, Walnut Park, CA 90255 | 2019-09-25 |
1356803555 | Cdf Centro De Desarrollo Familiar | Social Worker | 2677 Zoe Ave Suite 120, Huntington Park, CA 90255 | 2019-04-05 |
1710457908 | Toure Marshawn Curry | Rehabilitation Practitioner | 2677 Zoe Ave #304, Huntington Park, CA 90255 | 2018-11-29 |
1508366584 | Kalie Marie Baker | Optometrist | 2614 Gage Ave, Huntington Park, CA 90255 | 2018-02-16 |
1134633027 | Alicia Rizkalla | Case Manager/Care Coordinator | Altamed Pace, 1900 Slauson Street, Huntington Park, CA 90255 | 2017-11-30 |
1205353760 | All Care One Community Health Center | Chiropractor | 7300 Santa Fe Avenue, Huntington Park, CA 90255 | 2017-08-25 |
1447613559 | Peter Vue | Respiratory Therapist, Certified | 6208 Seville Ave., Huntington Park, CA 90255 | 2016-04-05 |
1558720029 | Dr. Edmond Janfaza Dds, Inc. | Dentist | 2675 E. Slauson Ave, #300, Huntington Park, CA 90255 | 2016-02-12 |
1649650979 | Samuel Zaki Dds Inc | Dentist | 7221 Pacific Blvd, Huntington Park, CA 90255 | 2015-06-02 |
1376945808 | Karla Zuniga | Case Manager/Care Coordinator | 3638 E 61st Street, Huntington Park, CA 90255 | 2014-09-16 |
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Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205041746 | Altamed Health Services | Clinic/Center | 6330 Rugby Ave, Suite 200, Huntington Park, CA 90255-4066 | 2007-05-10 |
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1790314201 | Bright & Right Adult Day Health Care, Inc. | Clinic/Center | 261 S Kenmore Ave, Los Angeles, CA 90004-5604 | 2020-04-06 |
1952937203 | Golden Life Adult Day Care Services, Inc | Clinic/Center | 15541 Ashley Ave, Westminster, CA 92683-6901 | 2020-03-19 |
1326674672 | Royal Care Adult Day Health Care, Inc | Clinic/Center | 7237 E Southgate Dr Ste C, Sacramento, CA 95823-2637 | 2020-03-19 |
1780210476 | Unique Adult Day Healthcare Inc. | Clinic/Center | 14127 S Tajauta Ave, Compton, CA 90222-3729 | 2020-03-13 |
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City | HUNTINGTON PARK |
Zip Code | 90255 |
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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.