ALTAMED HEALTH SERVICES CORP (NPI# 1619263597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619263597 |
| Entity Type | Organization |
| Organization Name | ALTAMED HEALTH SERVICES CORP |
| Other Organization Name | ALTAMED PACE-EL MONTE |
| Practice Address |
10418 Valley Blvd El Monte CA 91731-3600 |
| Mailing Address |
2040 Camfield Ave Los Angeles CA 90040-1501 |
| Practice Telephone | 6264538466 |
| Practice Fax Number | 6264538465 |
| Mailing Telephone | 3238898751 |
| Mailing Fax Number | 3238897399 |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2019-08-29 |
| 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 | 251T00000X | PACE Provider Organization | Agencies |
| Other Name | Type Code |
|---|---|
| AltaMed PACE-El Monte | 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 |
10418 VALLEY BLVD |
| City | EL MONTE |
| State | CA |
| Zip Code | 91731-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699856625 | Cristian Rico | Family Medicine | 10418 Valley Blvd, Suite B, El Monte, CA 91731-3600 | 2006-10-17 |
| 1184280992 | Marisela Elizabeth Garcia | Licensed Vocational Nurse | 10418 Valley Blvd, El Monte, CA 91731-3600 | 2019-05-16 |
| 1619434297 | Juan Carlos Leyva | Case Manager/Care Coordinator | 10418 Valley Blvd, El Monte, CA 91731-3600 | 2019-03-01 |
| 1679037477 | Salvador Castillo | Dietitian, Registered | 10418 Valley Blvd, El Monte, CA 91731-3600 | 2019-01-25 |
| 1396218442 | Celine Cheng | Dietitian, Registered | 10418 Valley Blvd, El Monte, CA 91731-3600 | 2019-01-10 |
| 1285105338 | Jazmin Anahi Landeros | Case Manager/Care Coordinator | 10418 Valley Blvd, El Monte, CA 91731-3600 | 2018-12-16 |
| 1356844674 | Yesenia Reyes | Nurse Practitioner | 10418 Valley Blvd, El Monte, CA 91731-3600 | 2018-03-13 |
| 1881193555 | Jasmine Tuyet Dinh | Nurse Practitioner | 10418 Valley Blvd, El Monte, CA 91731-3600 | 2018-02-07 |
| 1811401557 | Madeleine Matilde Ayllon | Nurse Practitioner | 10418 Valley Blvd, El Monte, CA 91731-3600 | 2017-11-16 |
| 1912424144 | Miriam Rios | Social Worker | 10418 Valley Blvd, El Monte, CA 91731 | 2017-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154965994 | Anahi Mora | Case Manager/Care Coordinator | 3629 Santa Anita Ave, El Monte, CA 91731 | 2019-11-05 |
| 1346882321 | Rosemary Pespisa | Technician | 10558 Emery St., El Monte, CA 91731 | 2019-10-11 |
| 1962058123 | Maria Jesusa Gabriel | Licensed Vocational Nurse | 11041 E. Valley Blvd., El Monte, CA 91731 | 2019-08-14 |
| 1346720679 | Ivan Bustamante | Counselor | 11429 Valley Boulevard, El Monte, Ca 91731, El Monte, CA 91731 | 2018-08-16 |
| 1891213229 | Abbye Williams | Counselor | 11100 Valley Blvd Suite 116, El Monte, CA 91731 | 2017-09-06 |
| 1215467279 | All Health Alliance Medical Group, Inc. | Physical Medicine & Rehabilitation | 10505 Valley Boulevard, #238, El Monte, CA 91731 | 2017-06-13 |
| 1427416486 | Mai Le | Counselor | 11041 E. Valley Blvd, El Monte, CA 91731 | 2016-02-05 |
| 1235526724 | Kristine Malana | Social Worker | 10418 E. Valley Blvd., Suite A, El Monte, CA 91731 | 2015-04-22 |
| 1376980250 | Aura Hernandez | Rehabilitation Practitioner | 9865 Baldwin Pl., El Monte, CA 91731 | 2013-05-31 |
| 1639411754 | Roxana Yaneth De Paz | Nurse's Aide | 10481 Valley Blvd., El Monte, CA 91731 | 2013-03-27 |
| Find all providers in zip 91731 | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871191932 | One Family Health Enterprise | PACE Provider Organization | 206 E 185th St, Carson, CA 90746-1706 | 2020-10-12 |
| 1003445073 | North East Medical Services | PACE Provider Organization | 728 Pacific Ave Ste 201, San Francisco, CA 94133-4449 | 2020-04-02 |
| 1508422775 | Tri Starr Home Care LLC | PACE Provider Organization | 1669 Flanigan Dr., Unit H, San Jose, CA 95121 | 2019-05-14 |
| 1669037362 | Medrev | PACE Provider Organization | 558 Chelsea Way, Corona, CA 92879-5880 | 2019-05-08 |
| 1164980439 | Tri Starr Home Care, LLC | PACE Provider Organization | 1609 Flanigan Dr., Unit H, Unit H, San Jose, CA 95122 | 2019-03-06 |
| 1063988384 | Sequoia Pace, LLC. | PACE Provider Organization | 1649 Van Ness Ave, Fresno, CA 93721-1128 | 2018-10-15 |
| 1457838955 | La Coast Pace, LLC | PACE Provider Organization | 1220 E 4th St, Long Beach, CA 90802-1831 | 2018-07-26 |
| 1194202697 | Pacific Pace, LLC | PACE Provider Organization | 50 Alessandro Pl Ste A20, Pasadena, CA 91105-3149 | 2018-07-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1063901767 | Humboldt Mobile Massage, Inc | PACE Provider Organization | 1737 Margaret Ln, Arcata, CA 95521-6838 | 2018-05-08 |
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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.