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ALTAMED MEDICAL GROUP- GARDEN GROVE,HARBOR
NPI 1083851992
Clinic/Center - Community Health in Garden Grove, CA

Active since January 14, 2009CLIA 05D1106763 · Waiver
12751 HARBOR BLVD, GARDEN GROVE, CA 92840(714) 636-7852(714) 636-0928 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Altamed Medical Group- Garden Grove,harbor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALTAMED MEDICAL GROUP- GARDEN GROVE,HARBOR (NPI 1083851992) is a healthcare organization registered as a community health in Garden Grove, California and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through October 20, 2027 and lists Robert U. Young, Vp, Patient Financial Services, as its authorized official.

NPPES Registry Identity

NPI1083851992
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameALTAMED HEALTH SERVICES CORP
Location Address12751 HARBOR BLVDGarden Grove, CA 92840-5800
Mailing Address2040 Camfield AveLos Angeles, CA 90040-1501 · (714) 636-7852 · Fax (714) 636-0928
Phone(714) 636-7852
Fax(714) 636-0928
Organization SubpartNo
Authorized OfficialRobert U. YoungVp, Patient Financial Services · (323) 622-2429
Enumeration DateJanuary 14, 2009
Last NPPES UpdateAugust 13, 2019
✔ NPI 1083851992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
12751 HARBOR BLVD, Garden Grove, CA 92840
Open in Google Maps ↗

Other Names 1

Doing Business AsAltamed Medical Group- Garden Grove,harbor

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1106763

Altamed Medical Group-Garden Grove Harbor · Garden Grove, CA
Active · expires Oct 20, 2027
CLIA Number05D1106763
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 21, 2025
Certificate Expiration DateOctober 20, 2027
Laboratory DirectorEdward Ko MD
Laboratory Phone(714) 636-7852
Laboratory LocationAltamed Medical Group-Garden Grove Harbor12751 Harbor Blvd, Garden Grove, CA 92840
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BENJAMIN NAVARRO M.D.
Internal Medicine
12751 HARBOR BLVD
GARDEN GROVE, CA 92840
Orange County (714) 636-7852
MRS. ADITA GRACIELA MCKENZIE FNP
Nurse Practitioner (Family)
12751 HARBOR BLVD
GARDEN GROVE, CA 92840
Orange County (714) 620-8883
MARIA YSABEL SILVA
Case Manager/Care Coordinator
12751 HARBOR BLVD
GARDEN GROVE, CA 92840
Orange County (714) 636-7852
BRYAN CHOI MD
Internal Medicine
12751 HARBOR BLVD
GARDEN GROVE, CA 92840
Orange County (888) 499-9303
EDWARD KO M.D.
Internal Medicine
12751 HARBOR BLVD
GARDEN GROVE, CA 92840
Orange County (888) 499-9303
SOCHIL PLASCENCIA
Case Manager/Care Coordinator
12751 HARBOR BLVD
GARDEN GROVE, CA 92840
Orange County (714) 636-7852
MRS. YESSELIN C TORRES CPHW
Case Manager/Care Coordinator
12751 HARBOR BLVD
GARDEN GROVE, CA 92840
Orange County (714) 636-7852
VU HUY PHAN D.C, FNP-C, L.AC
Nurse Practitioner (Family)
12751 HARBOR BLVD
GARDEN GROVE, CA 92840
Orange County (714) 590-1892

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Altamed Health Services Corp's NPI number?

The NPI number for Altamed Health Services Corp is 1083851992. It was assigned to this organization in the NPPES registry on January 14, 2009. The provider is doing business as Altamed Medical Group- Garden Grove,harbor.

Where is Altamed Health Services Corp located?

Altamed Health Services Corp is located at 12751 Harbor Blvd, Garden Grove, CA 92840. The listed phone number is (714) 636-7852.

What is Altamed Health Services Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Altamed Health Services Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1106763) is associated with this NPI, valid through October 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Altamed Health Services Corp was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.