ALTAMED MEDICAL GROUP-POMONA ADHC – NPI #1477737385
Clinic/Center

ALTAMED MEDICAL GROUP-POMONA ADHC is an AHC clinic located in LOS ANGELES, CA. NPPES has assigned the NPI number 1477737385 to ALTAMED MEDICAL GROUP-POMONA ADHC on December 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ALTAMED MEDICAL GROUP-POMONA ADHC” is a dba name, the actual legal business name for this organization is ALTAMED HEALTH SERVICES CORP.. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

The NPI profile was previously updated about 15 years ago on Aug 31, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALTAMED MEDICAL GROUP-POMONA ADHC below.

NPI Profile for
ALTAMED HEALTH SERVICES CORP.

NPI Number
1477737385
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALTAMED HEALTH SERVICES CORP.
Doing Business As (dba): ALTAMED MEDICAL GROUP-POMONA ADHC
Primary location
5425 POMONA BLVD
LOS ANGELES, CA 90022-1716
Phone: (323) 728-0411 Fax: (323) 728-1535
Mailing address
2040 CAMFIELD AVE
LOS ANGELES, CA 90040-1501
Phone: (323) 725-8751 Fax: (323) 889-7843
Organization Subpart
Yes - ALTAMED MEDICAL GROUP-POMONA ADHC is subpart of another organization.
Authorized Official
ROBERT YOUNG
AVP, PATIENT FINANCIAL SERVICES
Phone: (323) 622-2429
Updated
Identifiers

Identifiers for ALTAMED MEDICAL GROUP-POMONA ADHC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAADUF0488F
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)		 CA ADUF0488F

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.