ALTAMED SBC LYNWOOD CLINIC
NPI 1891081865
Clinic/Center - Federally Qualified Health Center (FQHC) in Lynwood, CA

Active since June 28, 2011CLIA 05D1010064 · Waiver
3820 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262(310) 632-0415(310) 639-2734 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Altamed Sbc Lynwood Clinic NPPES

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

ALTAMED SBC LYNWOOD CLINIC (NPI 1891081865) is a healthcare organization registered as a federally qualified health center (fqhc) in Lynwood, California and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through March 4, 2027 and lists Robert U. Young, Vp, Patient Financial Services, as its authorized official.

NPPES Registry Identity

NPI1891081865
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameALTAMED HEALTH SERVICES CORP
Location Address3820 MARTIN LUTHER KING JR BLVDLynwood, CA 90262-3625
Mailing Address2040 Camfield AvenueLos Angeles, CA 90040-1501 · (323) 622-2429 · Fax (323) 889-7399
Fax(310) 639-2734
Organization SubpartNo
Authorized OfficialRobert U. YoungVp, Patient Financial Services · (323) 622-2429
Enumeration DateJune 28, 2011
Last NPPES UpdateAugust 13, 2019
NPI 1891081865 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
3820 MARTIN LUTHER KING JR BLVD, Lynwood, CA 90262

Other Names 1

Doing Business AsAltamed Sbc Lynwood Clinic

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 05D1010064

Altamed Pace - Lynwood · Lynwood, CA
Active · expires Mar 4, 2027
CLIA Number05D1010064
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 5, 2025
Certificate Expiration DateMarch 4, 2027
Laboratory DirectorEsiquio Casillas
Laboratory Phone(310) 632-0415
Laboratory LocationAltamed Pace - Lynwood3820 Martin Luther King Jr Blvd, Lynwood, CA 90262
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Clinic/Center (Physical Therapy)
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Social Worker
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Internal Medicine
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Case Manager/Care Coordinator
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Occupational Therapist
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Case Manager/Care Coordinator
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Licensed Vocational Nurse
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Nurse's Aide
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262

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 1891081865. It was assigned to this organization in the NPPES registry on June 28, 2011. The provider is doing business as Altamed Sbc Lynwood Clinic.

Where is Altamed Health Services Corp located?

Altamed Health Services Corp is located at 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262. The listed phone number is (310) 632-0415.

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 05D1010064) is associated with this NPI, valid through March 4, 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 with the weekly NPPES data releases published by CMS.