ALTAMED HEALTH SERVICES CORP. (NPI# 1396949939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396949939 |
Entity Type | Organization |
Organization Name | ALTAMED HEALTH SERVICES CORP. |
Other Organization Name | ALTAMED GOLDEN AGE ADHC |
Practice Address |
3820 Martin Luther King Jr Blvd Lynwood CA 90262-3625 |
Mailing Address |
500 Citadel Dr Ste 490 Los Angeles CA 90040-1589 |
Practice Telephone | 3106320415 |
Practice Fax Number | 3106055438 |
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 |
ADUF0030G | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | ADUF0030G | 05 |
Other Name | Type Code |
---|---|
AltaMed Golden Age 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 |
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 |
3820 MARTIN LUTHER KING JR BLVD |
City | LYNWOOD |
State | CA |
Zip Code | 90262-3625 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063417798 | Lisa A Brockman | Internal Medicine | 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 | 2005-06-17 |
1275132839 | Claire Anne Vasquez | Registered Nurse | 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 | 2020-10-23 |
1295347276 | Beatriz Borjas | Case Manager/Care Coordinator | 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 | 2020-08-20 |
1629696422 | Jacqueline Lara | Case Manager/Care Coordinator | 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 | 2020-07-08 |
1457977530 | Elise Boretz | Dietitian, Registered | 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 | 2020-06-24 |
1538784806 | Rosa Lemus | Registered Nurse | 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 | 2020-06-12 |
1861021206 | Brenda Martin | Case Manager/Care Coordinator | 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 | 2020-04-07 |
1578197802 | Jorge Serrano | Licensed Vocational Nurse | 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 | 2020-02-25 |
1356988414 | Belen Gonzalez | Licensed Vocational Nurse | 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 | 2019-12-06 |
1659917912 | Carla Solis | Registered Nurse | 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 | 2019-11-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811546062 | Sheila Maxine Wilkins | Technician | 3940 Palm Ave, Lynwood, CA 90262 | 2019-09-10 |
1891344669 | Chezoma Latissue Davis | Technician | 4255 Niland St, Lynwood, CA 90262 | 2019-09-05 |
1295223345 | Scla Comprehensive Surgical Medical Group, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 204, Lynwood, CA 90262 | 2018-04-24 |
1891213807 | Grecia Veronica Nunez | Case Manager/Care Coordinator | 3680 E. Imperial Highway, Suite 200, Lynwood, CA 90262 | 2017-08-30 |
1134643448 | Angelica Jazmin Alonso Cortes | Case Manager/Care Coordinator | 2610 Industry Way Suite A, Lynwood, CA 90262 | 2017-07-28 |
1134594997 | Corinne Palma | Counselor | 11705 S. Alameda St., Lynwood, CA 90262 | 2015-12-04 |
1891175550 | Nancy Bremmer | Counselor | 10705 S. Alameda Street, Los Angels, CA 90262 | 2015-06-08 |
1588041347 | Jennifer Montoya | Case Management | 5433 E. Pelleur St., Lynwood, CA 90262 | 2015-04-30 |
1124440060 | Susana Gyek Goy | Chiropractor | 11123 Long Beach Blvd. Suite 5, Lynwood Health Center, Lynwood, CA 90262 | 2014-01-13 |
1215368956 | Baart Community Healthcare | Clinic/Center | 11315 S. Atlantic Blvd., Lynwood, CA 90262 | 2013-12-05 |
Find all providers in zip 90262 |
Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407061930 | Altamed Health Services Corp | Clinic/Center | 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262 | 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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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.