ALTAMED HEALTH SERVICES (NPI# 1881911766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881911766 |
| Entity Type | Organization |
| Organization Name | ALTAMED HEALTH SERVICES |
| Other Organization Name | BUENACARE |
| Practice Address |
1701 Zonal Ave Los Angeles CA 90033-1065 |
| Practice Telephone | 3232236146 |
| Practice Fax Number | 3232236399 |
| Mailing Telephone | 3232236146 |
| Mailing Fax Number | 3232236399 |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2010-04-30 |
| Authorized Official Name | MS. MARIE MCAFEE (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 3239740243 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
96000883 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BuenaCare | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699196378 | Altamed Health Services | Health Maintenance Organization | 2040 Camfield Ave., Los Angeles, CA 90040 | 2013-12-23 |
| 1972840635 | Altamed Health Services | Case Management | 1155 W Central Ave Ste 104-107, Santa Ana, CA 92707-3165 | 2013-01-14 |
| 1235492885 | Altamed Health Services | Health Maintenance Organization | 2401 S. Hacienda Blvd. #339, Hacienda Heights, CA 91745 | 2012-06-19 |
| 1619101565 | Altamed Health Services | Clinic/Center | 5175 Ball Rd, Cypress, CA 90630-3096 | 2009-05-06 |
| 1700291119 | Altamed Health Services | Clinic/Center | 1701 Zonal Ave, Los Angeles, CA 90033-1065 | 2014-06-24 |
| 1922352657 | Altamed Health Services | Health Educator | 2040 Camfield Ave, Commerce, CA 90040-1502 | 2012-11-02 |
| 1578817201 | Altamed Health Services | Health Educator | 2040 Camfield Ave, Commerce, CA 90040-1502 | 2012-11-02 |
| 1841543154 | Altamed Health Services | Health Educator | 1227 W 17th St, Santa Ana, CA 92706-3455 | 2012-10-24 |
| 1043570989 | Altamed Health Services | Health Educator | 2040 Camfield Ave, Commerce, CA 90040-1502 | 2012-05-25 |
| 1588936330 | Altamed Health Services | Clinic/Center | 1227 W 17th St, Santa Ana, CA 92706-3455 | 2012-02-08 |
| 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 |
1701 ZONAL AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-1065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730254996 | Haydee Rudholm | Physician Assistant | 1701 Zonal Ave, Los Angeles, CA 90033-1065 | 2006-11-22 |
| 1740808765 | Ruth Ashley Yagual | Nurse Practitioner | 1701 Zonal Ave, Los Angeles, CA 90033-1065 | 2020-07-07 |
| 1225684251 | Amanda Armenta | Licensed Vocational Nurse | 1701 Zonal Ave, Los Angeles, CA 90033-1065 | 2019-08-15 |
| 1043878606 | Desiree Belone | Licensed Vocational Nurse | 1701 Zonal Ave, Los Angeles, CA 90033-1065 | 2019-05-30 |
| 1306409388 | Anthony Yung | Marriage & Family Therapist | 1701 Zonal Ave, Los Angeles, CA 90033-1065 | 2019-04-16 |
| 1588131833 | Ashley Diwana Steverson | Counselor | 1701 Zonal Ave, Los Angeles, CA 90033-1065 | 2018-10-25 |
| 1265915771 | Taran Jesse Payne | Counselor | 1701 Zonal Ave, Los Angeles, CA 90033-1065 | 2018-09-11 |
| 1528540879 | Jesus Antonio Chavez | Counselor | 1701 Zonal Ave, Los Angeles, CA 90033-1065 | 2018-09-04 |
| 1669960993 | Joseph Francisco Garcia II | Counselor | 1701 Zonal Ave, Los Angeles, CA 90033-1065 | 2018-04-23 |
| 1831610849 | Jeanine Mary Johnson | Counselor | 1701 Zonal Ave, Los Angeles, CA 90033-1065 | 2017-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1811548712 | Jwch Institute, Inc | Clinic/Center | 1670 E 120 Street, West Support Bldg #14 Fl 2, Los Angeles, CA 90059-3026 | 2019-09-23 |
| 1902453731 | Altamed Health Services Corp | Clinic/Center | 2100 W 3rd St Ste 400, Los Angeles, CA 90057-2290 | 2019-08-26 |
| 1992269757 | Los Angeles Christian Health Centers | Clinic/Center | 325 7th Street, Los Angeles, CA 90014 | 2019-01-25 |
| 1083132849 | Altamed Health Services Corp | Clinic/Center | 2100 W 3rd St Ste 220, Los Angeles, CA 90057-1993 | 2017-08-31 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
Please comment or provide details below to improve the information on ALTAMED HEALTH SERVICES.
| 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.