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ALTAMED MEDICAL GROUP-PICO RIVERA,PASSONS
NPI 1356775878
Clinic/Center - Federally Qualified Health Center (FQHC) in Pico Rivera, CA

Active since September 03, 2013CLIA 05D1081110 · Waiver
6336 S. PASSONS BLVD, PICO RIVERA, CA 90660(562) 949-6069(562) 949-0199 Get Directions Write a Review

NPPES record last updated: August 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Altamed Medical Group-pico Rivera,passons NPPES

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

ALTAMED MEDICAL GROUP-PICO RIVERA,PASSONS (NPI 1356775878) is a healthcare organization registered as a federally qualified health center (fqhc) in Pico Rivera, California and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through March 9, 2028 and lists Robert U. Young, Vp, Patient Financial Services, as its authorized official.

NPPES Registry Identity

NPI1356775878
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameALTAMED HEALTH SERVICES CORP
Location Address6336 S. PASSONS BLVDPico Rivera, CA 90660-3355
Mailing Address2040 Camfield AveLos Angeles, CA 90040-1501 · (323) 622-2429
Phone(562) 949-6069
Fax(562) 949-0199
Organization SubpartNo
Authorized OfficialRobert U. YoungVp, Patient Financial Services · (323) 622-2429
Enumeration DateSeptember 3, 2013
Last NPPES UpdateAugust 16, 2019
✔ NPI 1356775878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
6336 S. PASSONS BLVD, Pico Rivera, CA 90660
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Other Names 1

Doing Business AsAltamed Medical Group-pico Rivera,passons

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 05D1081110

Altamed Medical Group - Pico Rivera Passons · Pico Rivera, CA
Active · expires Mar 9, 2028
CLIA Number05D1081110
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 10, 2026
Certificate Expiration DateMarch 9, 2028
Laboratory DirectorRaul Barrera
Laboratory Phone(562) 205-4382
Laboratory LocationAltamed Medical Group - Pico Rivera Passons6336 S Passons Blvd, Pico Rivera, CA 90660
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 1356775878. It was assigned to this organization in the NPPES registry on September 3, 2013. The provider is doing business as Altamed Medical Group-Pico Rivera,passons.

Where is Altamed Health Services Corp located?

Altamed Health Services Corp is located at 6336 S. Passons Blvd, Pico Rivera, CA 90660. The listed phone number is (562) 949-6069.

What is Altamed Health Services Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Altamed Health Services Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1081110) is associated with this NPI, valid through March 9, 2028. 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 16, 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.