ALTAMED HEALTH SERVICES CORP (NPI# 1306015425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306015425 |
| Entity Type | Organization |
| Organization Name | ALTAMED HEALTH SERVICES CORP |
| Other Organization Name | ALTAMED MEDICAL AND DENTAL GROUP-HUNTINGTON BEACH |
| Practice Address |
8041 Newman Ave Huntington Beach CA 92647-7034 |
| Mailing Address |
2040 Camfield Ave Los Angeles CA 90040-1501 |
| Practice Telephone | 7145000224 |
| Mailing Telephone | 3237258751 |
| Mailing Fax Number | 3238897843 |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2019-01-04 |
| Authorized Official Name | ROBERT U. YOUNG (VP, PATIENT FINANCIAL SERVICES) |
| Authorized Official Telephone | 3236222429 |
| Authorized Official Credential | MD |
| 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 Medical and Dental Group-Huntington Beach | 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 |
8041 NEWMAN AVE |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92647-7034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306841036 | Community Care Health Centers | Family Medicine | 8041 Newman Ave, Huntington Beach, CA 92647-7034 | 2005-06-17 |
| 1922587930 | Crystal Crain | Case Manager/Care Coordinator | 8041 Newman Ave, Huntington Beach, CA 92647-7034 | 2018-08-09 |
| 1700376506 | Sono Imaging Mobile Services | Radiology | 8041 Newman Ave, Huntington Beach, CA 92647-7034 | 2018-05-16 |
| 1457859183 | Tiffany Lin Chou | Nurse Practitioner | 8041 Newman Ave, Huntington Beach, CA 92647-7034 | 2018-01-29 |
| 1578945663 | Rajni Boparai | Family Medicine | 8041 Newman Ave, Huntington Beach, CA 92647-7034 | 2015-06-24 |
| 1740681600 | Olga Trinidad Barreal | Nutritionist | 8041 Newman Ave, Huntington Beach, CA 92647-7034 | 2014-09-10 |
| 1134529795 | Jennifer Roxana Estrada-melgar | Family Medicine | 8041 Newman Ave, Huntington Beach, CA 92647-7034 | 2014-09-01 |
| 1679908966 | Estela Rivera | Case Manager/Care Coordinator | 8041 Newman Ave, Huntington Beach, CA 92647-7034 | 2013-09-05 |
| 1316299621 | Jessica Abraham | Pharmacist | 8041 Newman Ave, Huntington Beach, CA 92647-7034 | 2012-10-10 |
| 1023360328 | Grace Kim | Pharmacist | 8041 Newman Ave, Huntington Beach, CA 92647-7034 | 2012-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417464231 | Patricia Michelle Ramsey | Counselor | 16761 Viewpoint Lane, Apt 386, Huntington Beach, CA 92647 | 2018-01-02 |
| 1780103390 | Luz Flores | Health Educator | 8041 Newman Avenue, Hungtington Beach, CA 92647 | 2017-09-14 |
| 1134649106 | Louise Polzel | Social Worker | 17111 Beach Blvd St 205, Huntington Beach, CA 92647 | 2017-06-21 |
| 1205364015 | Chi Hong Nguyen | Family Medicine | 8201 Newman Ave 101, Huntington, CA 92647 | 2017-05-24 |
| 1396281770 | Sandra Vera | Specialist/Technologist | 7812 Edinger Ave. #400, Huntington Beach, CA 92647 | 2017-01-10 |
| 1245773050 | Sherika Benjamin | Technician, Pathology | 8211 San Angelo Drive Suit #f2, Huntington Beach, CA 92647 | 2016-11-28 |
| 1306389440 | Nhi Pham Nguyen | Behavioral Analyst | 17732 Beach Blvd., Suite G, Huntington Beach, CA 92647 | 2016-11-21 |
| 1710345095 | Pacific Beach Medical Group, Inc. | Internal Medicine | 16111 Beach Blvd., Huntington Beach, CA 92647 | 2016-02-02 |
| 1699148494 | Daniel Bui | Dentist | 16900-a Goldenwest St, Huntington Beach, CA 92647 | 2015-11-03 |
| 1598132359 | Hayley Patricia Buchanan | Specialist/Technologist | 23441 S. Pointe Drive, Suite 245, Laguna Hills, ORANGE COUNTY 92647 | 2015-08-27 |
| Find all providers in zip 92647 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92647 |
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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.