ALTAMED HEALTH SERVICES CORPORATION (NPI# 1679814818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679814818 |
| Entity Type | Organization |
| Organization Name | ALTAMED HEALTH SERVICES CORPORATION |
| Practice Address |
6330 Rugby Ave Huntington Park CA 90255-4066 |
| Practice Telephone | 3232777678 |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |
| Authorized Official Name | ARCELIA MONTES (MANAGER) |
| Authorized Official Telephone | 3232777678 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
OT 8306 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073744710 | Altamed Health Services Corporation | Clinic/Center | 2040 Camfield Avenue, Los Angeles, CA 90040-1501 | 2009-07-29 |
| 1124234505 | Altamed Health Services Corporation | Case Manager/Care Coordinator | 6210 Whittier Blvd, Los Angeles, CA 90022-4506 | 2007-05-15 |
| 1740611219 | Altamed Health Services Corporation | Clinic/Center | 5425 Pomona Blvd, Los Angeles, CA 90022-1716 | 2013-12-09 |
| 1003157363 | Altamed Health Services Corporation | Clinic/Center | 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 | 2013-03-12 |
| 1356695266 | Altamed Health Services Corporation | Health Educator | 1300 S Sunset Ave, West Covina, CA 91790-3342 | 2012-10-30 |
| 1003164724 | Altamed Health Services Corporation | Clinic/Center | 5425 Pomona Blvd, Los Angeles, CA 90022-1716 | 2012-08-28 |
| 1902038045 | Altamed Health Services Corporation | Clinic/Center | 701 W Cesar E Chavez Ave, Suite 201, Los Angeles, CA 90012-2104 | 2009-08-21 |
| 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 |
| City | HUNTINGTON PARK |
| State | CA |
| Zip Code | 90255-4066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588737068 | Lucio Sanchez | Neuromusculoskeletal Medicine, Sports Medicine | 6330 Rugby Ave, Suite 200, Huntington Park, CA 90255 | 2006-11-15 |
| 1285004655 | Shally De Leon | Case Manager/Care Coordinator | 6330 Rugby Ave, Ste 200, Huntington Park, CA 90255-4066 | 2015-09-29 |
| 1558738369 | Karina Zapata | Registered Nurse | 6330 Rugby Ave, Huntington Park, CA 90255-4066 | 2015-08-27 |
| 1821476250 | Lizett B Quijada | Registered Nurse | 6330 Rugby Ave, Huntington Park, CA 90255-4066 | 2015-05-18 |
| 1083011191 | Patricia Rios | Licensed Vocational Nurse | 6330 Rugby Ave, Huntington Park, CA 90255-4066 | 2014-12-04 |
| 1134545577 | Jennifer Zetina | Registered Nurse | 6330 Rugby Ave, Huntington Park, CA 90255-4066 | 2014-03-10 |
| 1558787135 | Suemy Cortes | Registered Nurse | 6330 Rugby Ave, Suite 200, Huntington Park, CA 90255-4066 | 2014-03-06 |
| 1174962062 | Stephanie Jordan De Leon | Social Worker | 6330 Rugby Ave, Suite 200, Huntington Park, CA 90255-4066 | 2013-06-24 |
| 1083059901 | Vicky Perez | Case Manager/Care Coordinator | 6330 Rugby Ave, Huntington Park, CA 90255-4066 | 2013-05-06 |
| 1386985463 | Sebastian Carlos Lopez | Social Worker | 6330 Rugby Ave, Suite 200, Huntington Park, CA 90255-4066 | 2013-03-14 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 90255 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669799896 | South Central Family Health Center | Clinic/Center | 2680 Saturn Ave Ste 220&280, Huntington Park, CA 90255-4377 | 2010-04-28 |
| 1689219628 | Complete Care Community Health Center, Inc | Clinic/Center | 7301 State St, Huntington Park, CA 90255-5823 | 2019-11-13 |
| 1487218970 | South Central Family Health Center | Clinic/Center | 7300 Santa Fe Ave, Huntington Park, CA 90255-5731 | 2019-04-30 |
| 1790177582 | Altamed Health Services Corp | Clinic/Center | 1900 E Slauson Ave, Huntington Park, CA 90255-2725 | 2015-03-03 |
| 1851522288 | Altamed Health Services Corp | Clinic/Center | 6330 Rugby Ave, Suite 200, Huntington Park, CA 90255-6938 | 2009-08-03 |
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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.