ALTAMED HEALTH SERVICES CORP (NPI# 1053580175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053580175 |
| Entity Type | Organization |
| Organization Name | ALTAMED HEALTH SERVICES CORP |
| Other Organization Name | ALTAMED MEDICAL GROUP-SANTA ANA,17TH STREET |
| Practice Address |
1227 W 17th St Santa Ana CA 92706-3455 |
| Mailing Address |
2040 Camfield Ave Los Angeles CA 90040-1501 |
| Practice Telephone | 7145000340 |
| Practice Fax Number | 7148248886 |
| Mailing Telephone | 3236222429 |
| 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 | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| AltaMed Medical Group-Santa Ana,17th Street | 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 |
1227 W 17TH ST |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92706-3455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912005133 | Delia V Ogawa | Nurse Practitioner | 1227 W 17th St, Suite 101, Santa Ana, CA 92706-3455 | 2006-09-20 |
| 1003276809 | George Xenakis, Dds, PC | Clinic/Center | 1227 W 17th St, Santa Ana, CA 92706-3455 | 2016-03-07 |
| 1720485832 | Ukjae Jung Dds Incorporated | Dentist | 1227 W 17th St, Santa Ana, CA 92706-3455 | 2014-12-04 |
| 1407109580 | Altamed | Health Educator | 1227 W 17th St, Santa Ana, CA 92706-3455 | 2012-10-26 |
| 1841543154 | Altamed Health Services | Health Educator | 1227 W 17th St, Santa Ana, CA 92706-3455 | 2012-10-24 |
| 1902158983 | Elmer Vidana | Health Educator | 1227 W 17th St, Santa Ana, CA 92706-3455 | 2012-10-15 |
| 1184984593 | Tanya Laguna | Health Educator | 1227 W 17th St, Santa Ana, CA 92706-3455 | 2012-05-18 |
| 1174883599 | Rebeca Gilad | Health Educator | 1227 W 17th St, Santa Ana, CA 92706-3455 | 2012-05-18 |
| 1588936330 | Altamed Health Services | Clinic/Center | 1227 W 17th St, Santa Ana, CA 92706-3455 | 2012-02-08 |
| 1356613467 | Belinda Carmen Wu | Health Educator | 1227 W 17th St, Santa Ana, CA 92706-3455 | 2012-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962972448 | Naijwa Lewis | Counselor | 2100 N. Broadway Suite 101, Santa Ana, CA 92706 | 2018-11-28 |
| 1215428230 | Chances Counseling Centers LLC | Psychologist | 2727 N Bristol St, Santa Ana, CA 92706 | 2018-05-24 |
| 1366962854 | Jankee Pandya | Counselor | 2215 N. Broadway, Ste 200, Santa Ana, CA 92706 | 2017-06-26 |
| 1740719178 | Miriam Alejandro Moreno-ortiz | Counselor | 1910 N. Bush St, Santa Ana, CA 92706 | 2017-06-08 |
| 1942617790 | Janice Botzbach | Behavioral Analyst | 1912 N. Broadway Suite 108, Santa Ana, CA 92706 | 2014-07-14 |
| 1841620689 | Orange County Health Care Agency | Clinic/Center | 550 N. Flower Street, Santa Ana, CA 92706 | 2013-11-14 |
| 1740527274 | Jeremy Nishimoto | Counselor | 2100 N. Broadway Ste 101, Santa Ana, CA 92706 | 2013-01-03 |
| 1326392390 | Rosemary Sara Chesters | Marriage & Family Therapist | 921 West Seventeenth Street, Santa Ana, CA 92706 | 2012-10-30 |
| 1790032019 | Jee Hoon Ha | Dentist | 1313 W 17th St Ste B, Santa Ana, CA 92706 | 2012-08-06 |
| 1437404225 | Lisa Steele | Counselor | 1910 N. Bush, Santa Ana, CA 92706 | 2012-07-17 |
| Find all providers in zip 92706 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790150209 | Community Outreach Medical Services | Clinic/Center | 1200 N Tustin Ave Ste 130, Santa Ana, CA 92705-3501 | 2015-12-09 |
| 1013138486 | Birthchoice Health Clinic | Clinic/Center | 415 N Sycamore St, St. 200, Santa Ana, CA 92701-4607 | 2007-05-01 |
| 1578079919 | Behavioral Health Services Inc. | Clinic/Center | 2015 W 1st St Ste L, Santa Ana, CA 92703-3516 | 2017-12-21 |
| 1295152668 | Community Outreach Medical Services | Clinic/Center | 1200 N Tustin Ave, Suite 130, Santa Ana, CA 92705-3508 | 2014-03-24 |
| 1295170546 | Birth Choice Pregnancy Centers, Inc | Clinic/Center | 1100 N Tustin Ave, #d-1, Santa Ana, CA 92705-3509 | 2013-04-30 |
| 1295039923 | Leslie Matthews Casserly | Clinic/Center | 415 N Sycamore St, Suite 200, Santa Ana, CA 92701-4607 | 2011-01-10 |
| 1134398043 | Altamed Health Services Corp | Clinic/Center | 2223 W 1st St, Santa Ana, CA 92703-3505 | 2008-02-25 |
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| 1982210522 | Life Helping Hands Inc | Clinic/Center | 987 Haley Talbert Dr, Corona, CA 92881-8402 | 2020-09-18 |
| 1780292912 | Marin Community Clinic | Clinic/Center | 1260 S Eliseo Dr Ste 201, Greenbrae, CA 94904-2009 | 2020-07-14 |
| 1922625847 | Gardner Family Health Network | Clinic/Center | 1621 Gold St, Alviso, CA 95002-3530 | 2020-06-26 |
| 1194340794 | Greenville Rancheria | Clinic/Center | 13545 Saint Marys Ave, Red Bluff, CA 96080-8884 | 2020-06-10 |
| 1841829876 | Pacific Central Coast Health Centers | Clinic/Center | 1992 Old Mission Dr Ste 140, Solvang, CA 93463-2302 | 2020-04-02 |
| 1740812866 | Tauna Mcginnis | Clinic/Center | 1570 Soquel Dr Ste 4, Santa Cruz, CA 95065-1715 | 2020-02-06 |
| 1275173403 | United Advocates for Children and Families | Clinic/Center | 2143 Hurley Way Ste 102, Sacramento, CA 95825-3297 | 2020-01-15 |
| 1083251532 | Prime Wellness Community Health Center | Clinic/Center | 1824 1/2 W 38th Pl, Los Angeles, CA 90062-1012 | 2019-12-03 |
| 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.