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Export Provider Record NPI 1396959060
Altamed Health Services Corp
Organization Subpart: NO
Active
NPI Number1396959060
NPI TypeNPI-2 Organization
SpecialtyClinic/Center, Federally Qualified Health Center (FQHC)
Provider Details
NPI1396959060
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2007-05-10
Last Updated2019-08-16
Authorized OfficialRobert Young
VP, Patient Financial Services
Phone: 3236222429
Mailing Address2040 Camfield Ave
Los Angeles, CA 90040-1501
United States
Phone: (323) 725-8751 | Fax: (323) 889-7843
📍 View Map
Primary Practice Address5427 East Whittier Blvd
E. Los Angeles, CA 90022-4101
United States
Phone: (323) 869-1900 | Fax: (323) 869-4101
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDCAFHC11568F-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC)CAFHC11568F
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About NPI 1396959060

Altamed Health Services Corp is an organization registered in the CMS NPPES NPI Registry with NPI number 1396959060. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in E. Los Angeles, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-05-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1396959060?

NPI 1396959060 belongs to Altamed Health Services Corp, a Clinic/Center, Federally Qualified Health Center (FQHC) in E. Los Angeles, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1396959060 active?

The current status of NPI 1396959060 in the NPPES registry is Active. The record was last updated on 2019-08-16.

What specialty is NPI 1396959060?

NPI 1396959060 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1396959060?

You can verify NPI 1396959060 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1396959060?

The primary practice address on file for NPI 1396959060 is 5427 East Whittier Blvd, E. Los Angeles, CA 90022-4101. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1396959060 issued?

NPI 1396959060 was first issued (enumerated) on 2007-05-10. The NPPES record was last updated on 2019-08-16.

Practice Location Map

Altamed Health Services Corp is located at 5427 East Whittier Blvd, E. Los Angeles, CA. Use the map below to find directions or verify the practice location.

📍 5427 East Whittier Blvd, E. Los Angeles, CA 90022-4101  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Altamed Health Services Corp. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1396959060. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Clinic/Center, Federally Qualified Health Center (FQHC)FHC11568FCA
Data Verified from CMS NPPES Last synced: 2026-08-25 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162