ALTAMED PACE-GRAND PLAZA
NPI 1952532384
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Los Angeles, CA

Active since August 03, 2009CLIA 05D0990695 · Waiver
701 W CESAR E CHAVEZ AVE, SUITE 201, LOS ANGELES, CA 90012(213) 217-5300(213) 217-5396 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Altamed Pace-grand Plaza NPPES

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

ALTAMED PACE-GRAND PLAZA (NPI 1952532384) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Los Angeles, California and active in the NPI registry since August 2009. The organization holds a CLIA Waiver certificate valid through August 28, 2027 and lists Robert U. Young, Vp, Patient Financial Service, as its authorized official.

NPPES Registry Identity

NPI1952532384
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameALTAMED HEALTH SERVICES CORP
Location Address701 W CESAR E CHAVEZ AVE, SUITE 201Los Angeles, CA 90012-2104
Mailing Address2040 Camfield AvenueLos Angeles, CA 90040-1501 · (323) 622-2429 · Fax (323) 889-7399
Fax(213) 217-5396
Organization SubpartNo
Authorized OfficialRobert U. YoungVp, Patient Financial Service · (323) 622-2429
Enumeration DateAugust 3, 2009
Last NPPES UpdateAugust 22, 2019
NPI 1952532384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code251T00000X
Definition

A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.

701 W CESAR E CHAVEZ AVE, Los Angeles, CA 90012

Other Names 1

Doing Business AsAltamed Pace-grand Plaza

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 05D0990695

Alta Med Pace Grand Plaza · Los Angeles, CA
Active · expires Aug 28, 2027
CLIA Number05D0990695
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 29, 2025
Certificate Expiration DateAugust 28, 2027
Laboratory DirectorEsiquio G. Casillas MD
Laboratory Phone(213) 217-5300
Laboratory LocationAlta Med Pace Grand Plaza701 W Cesar Chavez Ave Ste 201, Los Angeles, CA 90012
CLIA data matches this NPI record on: 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 (Adult Day Care)
701 W CESAR E CHAVEZ AVE, STE 201
LOS ANGELES, CA 90012
Social Worker
701 W CESAR E CHAVEZ AVE, STE 201
LOS ANGELES, CA 90012
Clinic/Center (Adult Day Care)
701 W CESAR E CHAVEZ AVE, SUITE 201
LOS ANGELES, CA 90012
Clinic/Center (Federally Qualified Health Center (FQHC))
701 W CESAR E CHAVEZ AVE, SUITE 201
LOS ANGELES, CA 90012
Marriage & Family Therapist
701 W CESAR E CHAVEZ AVE, SUITE 201
LOS ANGELES, CA 90012
Registered Nurse
701 W CESAR E CHAVEZ AVE, SUITE # 201
LOS ANGELES, CA 90012
Social Worker
701 W CESAR E CHAVEZ AVE, SUITE #201
LOS ANGELES, CA 90012
Registered Nurse
701 W CESAR E CHAVEZ AVE, SUIT 201
LOS ANGELES, CA 90012

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 1952532384. It was assigned to this organization in the NPPES registry on August 3, 2009. The provider is doing business as Altamed Pace-Grand Plaza.

Where is Altamed Health Services Corp located?

Altamed Health Services Corp is located at 701 W Cesar E Chavez Ave Suite 201, Los Angeles, CA 90012. The listed phone number is (213) 217-5300.

What is Altamed Health Services Corp's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Does Altamed Health Services Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0990695) is associated with this NPI, valid through August 28, 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 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.