ALTAMED HEALTH SERVICES CORP. (NPI# 1477737385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477737385 |
| Entity Type | Organization |
| Organization Name | ALTAMED HEALTH SERVICES CORP. |
| Other Organization Name | ALTAMED MEDICAL GROUP-POMONA ADHC |
| 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 | 3237258751 |
| Mailing Fax Number | 3238897843 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2011-08-31 |
| Authorized Official Name | ROBERT U. YOUNG (AVP, PATIENT FINANCIAL SERVICES) |
| Authorized Official Telephone | 3236222429 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | ALTAMED HEALTH SERVICES CORP. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
ADUF0488F | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ADUF0488F | 05 |
| Other Name | Type Code |
|---|---|
| AltaMed Medical Group-Pomona 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 |
| 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 |
5425 POMONA BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90022-1716 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 90022 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790314201 | Bright & Right Adult Day Health Care, Inc. | Clinic/Center | 261 S Kenmore Ave, Los Angeles, CA 90004-5604 | 2020-04-06 |
| 1578193801 | Jmk Residential Facility | Clinic/Center | 1278 E 125th St, Los Angeles, CA 90059-3216 | 2020-01-26 |
| 1679118475 | Heavenly Adhc, Inc. | Clinic/Center | 4777 Santa Monica Blvd, Los Angeles, CA 90029-2631 | 2019-11-15 |
| 1760026298 | Bliss Health Care Services, Inc. | Clinic/Center | 1501 W Washington Blvd, Los Angeles, CA 90007-1258 | 2019-10-28 |
| 1912555202 | Sun Bay Koreatown, LLC | Clinic/Center | 3060 W Olympic Blvd # 120, Los Angeles, CA 90006-3832 | 2019-08-29 |
| 1558921601 | Crenshaw Community Center LLC | Clinic/Center | 1060 Crenshaw Blvd, Los Angeles, CA 90019-1900 | 2019-06-19 |
| 1760042915 | Koreatown Senior Center LLC | Clinic/Center | 3400 W Olympic Blvd, Los Angeles, CA 90019-2122 | 2019-06-19 |
| 1306308499 | Lily Adult Day Health Care Center | Clinic/Center | 610 S Kingsley Dr, Los Angeles, CA 90005-2318 | 2019-04-05 |
| 1184102287 | Koreatown Community Based Services, Inc. | Clinic/Center | 2140 W Olympic Blvd Ste 100, Los Angeles, CA 90006-2250 | 2018-07-31 |
| 1962918334 | Brown and Pipkins Corporation | Clinic/Center | 10924 S Vermont Ave, Los Angeles, CA 90044-3016 | 2017-12-21 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90022 |
Please comment or provide details below to improve the information on ALTAMED HEALTH SERVICES CORP..
| 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.