ALTAMED HEALTH SERVICES CORP (NPI# 1740427657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740427657 |
| Entity Type | Organization |
| Organization Name | ALTAMED HEALTH SERVICES CORP |
| Other Organization Name | ALTAMED MEDICAL AND DENTAL GROUP-SANTA ANA, MAIN |
| Practice Address |
1400 N Main St Santa Ana CA 92701-2304 |
| Mailing Address |
2040 Camfield Ave Los Angeles CA 90040-1501 |
| Practice Telephone | 7145416815 |
| Practice Fax Number | 7145418142 |
| Mailing Telephone | 3236222429 |
| Mailing Fax Number | 3238897399 |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2019-08-16 |
| Authorized Official Name | ROBERT U. YOUNG (VP, PATIENT FINANCIAL SERVICES) |
| Authorized Official Telephone | 3236222429 |
| Authorized Official Credential | M.D. |
| 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-Santa Ana, Main | Other Name - Individual/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 |
1400 N MAIN ST |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92701-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477052843 | Mariana Zapata | Case Manager/Care Coordinator | 1400 N Main St, Santa Ana, CA 92701-2304 | 2018-02-12 |
| 1003328709 | Sonia Sedano | Nurse Practitioner | 1400 N Main St, Santa Ana, CA 92701-2304 | 2017-11-02 |
| 1750837993 | Alyssa Tonelli | Family Medicine | 1400 N Main St, Santa Ana, CA 92701-2304 | 2016-08-28 |
| 1942673009 | Angelica Gutierrez | Health Educator | 1400 N Main St, Santa Ana, CA 92701-2304 | 2015-11-10 |
| 1609253913 | Daniela Yoo Jin Um | Pharmacist | 1400 N Main St, Santa Ana, CA 92701-2304 | 2015-05-06 |
| 1275928590 | Elieta Cho | Dietitian, Registered | 1400 N Main St, Santa Ana, CA 92701-2304 | 2015-04-02 |
| 1467845198 | Nidhi Sandip Sura | Internal Medicine | 1400 N Main St, Santa Ana, CA 92701 | 2015-03-04 |
| 1114317120 | Alejandra Nineth Gallegos | Health Educator | 1400 N Main St, Santa Ana, CA 92701-2304 | 2015-01-28 |
| 1255742102 | Ian Eric Solomon | Family Medicine | 1400 N Main St, Santa Ana, CA 92701-2304 | 2014-05-14 |
| 1942595053 | Chris Kang | Dentist | 1400 N Main St, Santa Ana, CA 92701-2304 | 2011-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
| 1508479239 | Candice Bjorkman | Counselor | 1201 E Fruit St, Santa Ana, CA 92701 | 2020-08-24 |
| 1013527365 | Maryiam Elizabeth Barkho | Dentist | 809 South Main Street Suite B, Santa Ana, CA 92701 | 2020-08-02 |
| 1447803788 | Emmett Eugene Cook II | Counselor | 1207 E Fruit Street, Santa Ana, CA 92701 | 2019-07-16 |
| 1619538741 | Emily H Sanders | Marriage & Family Therapist | 1800-f Parkcourt Place, Suite 205, Santa Ana, CA 92701 | 2019-06-28 |
| 1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
| 1841765815 | Kelly Marie Contreras | Clinical Medical Laboratory | 902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701 | 2018-10-05 |
| 1780176537 | Diane Carol Navarro-prescott | Counselor | 1633 East 4th Street, Santa Ana, CA 92701 | 2018-06-06 |
| 1750873758 | Eileen Fernandez | Counselor | 615 W Civic Center Dr Fl 2, Santa Ana, CA 92701 | 2018-06-05 |
| Find all providers in zip 92701 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1295082774 | Share Our Selves Corporation | Clinic/Center | 1014 N. Broadway, Santa Ana, CA 92701-3141 | 2012-08-14 |
| 1134636889 | Southland Integrated Services, Inc. | Clinic/Center | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2018-01-03 |
| 1598124083 | Vista Community Clinic | Clinic/Center | 1525 E 17th St, Unit #b, Santa Ana, CA 92705-8521 | 2016-02-12 |
| 1366834400 | Altamed Health Services Corp | Clinic/Center | 1155 W Central Ave, Suites 104-107, Santa Ana, CA 92707-3165 | 2015-02-26 |
| 1730349960 | University of California Irvine | Clinic/Center | 800 N Main St, Santa Ana, CA 92701-3576 | 2008-06-11 |
| 1760651814 | Altamed Health Services Corp | Clinic/Center | 2720 S Bristol St, Suite 110, Santa Ana, CA 92704-6207 | 2008-02-22 |
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| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
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| Find all providers with the same taxonomy | ||||
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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.