ALTAMED MEDICAL GROUP-HUNTINGTON PARK
NPI 1790177582
Clinic/Center - Federally Qualified Health Center (FQHC) in Huntington Park, CA

Q: What is Altamed Health Services Corp's NPI number?

The NPI number for Altamed Health Services Corp is 1790177582. It was assigned to this organization in the NPPES registry on March 3, 2015. The provider is doing business as Altamed Medical Group-Huntington Park.

Q: 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.

Active since March 03, 2015CLIA 05D2102128 · Waiver

1900 E SLAUSON AVE, HUNTINGTON PARK, CA 90255(323) 487-4110(323) 923-5370 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Aug 18, 2016, Nov 10, 2015 (3 updates tracked since 2015).

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About Altamed Medical Group-huntington Park NPPES

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

ALTAMED MEDICAL GROUP-HUNTINGTON PARK (NPI 1790177582) is a healthcare organization registered as a federally qualified health center (fqhc) in Huntington Park, California and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through September 15, 2027 and lists Robert U. Young, Vp, Patient Financial Services, as its authorized official.

NPPES Registry Identity

NPI1790177582

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameALTAMED HEALTH SERVICES CORP

Location Address1900 E SLAUSON AVEHuntington Park, CA 90255-2725

Mailing Address2040 Camfield AveLos Angeles, CA 90040-1501 · (323) 725-8751 · Fax (323) 889-7399

Phone(323) 487-4110

Fax(323) 923-5370

Organization SubpartNo

Authorized OfficialRobert U. YoungVp, Patient Financial Services · (323) 622-2429

Enumeration DateMarch 3, 2015

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1790177582 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

1900 E SLAUSON AVE, Huntington Park, CA 90255

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Other Names 1

Doing Business AsAltamed Medical Group-huntington Park

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 05D2102128

Altamed Medical Group - Huntington Park · Huntington Park, CA

Active · expires Sep 15, 2027

CLIA Number05D2102128

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateSeptember 16, 2025

Certificate Expiration DateSeptember 15, 2027

Laboratory DirectorFrancis Runas

Laboratory Phone(323) 487-4110

Laboratory LocationAltamed Medical Group - Huntington Park1900 E. Slauson Avenue Ste 205, Huntington Park, CA 90255

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 20

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

MARIA YANETH DIAZ

Case Manager/Care Coordinator