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ALTAMED SBC GRAND PLAZA CLINIC
NPI 1972860112
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA

Active since April 12, 2012
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: April 12, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Altamed Sbc Grand Plaza Clinic NPPES

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

ALTAMED SBC GRAND PLAZA CLINIC (NPI 1972860112) is a healthcare organization registered as a federally qualified health center (fqhc) in Los Angeles, California and active in the NPI registry since April 2012. The organization lists Robert U. Young, Avp, Patient Financial Services, as its authorized official.

NPPES Registry Identity

NPI1972860112
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameALTAMED HEALTH SERVICES CORP
Location Address701 W CESAR E CHAVEZ AVE, SUITE 201Los Angeles, CA 90012-2104
Mailing Address2040 Camfield AveLos Angeles, CA 90040-1501 · (323) 622-2429 · Fax (323) 889-7399
Phone(213) 217-5300
Fax(213) 217-5396
Organization SubpartNo
Authorized OfficialRobert U. YoungAvp, Patient Financial Services · (323) 622-2429
Enumeration DateApril 12, 2012
✔ NPI 1972860112 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
701 W CESAR E CHAVEZ AVE, Los Angeles, CA 90012
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Other Names 1

Doing Business AsAltamed Sbc Grand Plaza Clinic

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.

WALESKA MEDINA-CANNON
Dietitian, Registered
701 W CESAR E CHAVEZ AVE
LOS ANGELES, CA 90012
Los Angeles County (213) 217-5396
ALTAMED HEALTH SERVICES CORP.
Clinic/Center (Adult Day Care)
701 W CESAR E CHAVEZ AVE
LOS ANGELES, CA 90012
Los Angeles County (213) 217-5300
MRS. KATERIN GASPAR LVN
Licensed Vocational Nurse
701 W CESAR E CHAVEZ AVE, SUITE 201
LOS ANGELES, CA 90012
Los Angeles County (213) 217-5300
BONNIE RUTH SANTILLO RN
Registered Nurse (Case Management)
701 W CESAR E CHAVEZ AVE
LOS ANGELES, CA 90012
Los Angeles County (213) 217-5300
JENIFFER ALVAREZ SALAZAR RN
Case Manager/Care Coordinator
701 W CESAR E CHAVEZ AVE, 201
LOS ANGELES, CA 90012
Los Angeles County (213) 217-5350
MRS. MAGDALENE LUI
Case Manager/Care Coordinator
701 W CESAR E CHAVEZ AVE, SUITE 201
LOS ANGELES, CA 90012
Los Angeles County (213) 217-5300
MRS. JENNY GUO
Case Manager/Care Coordinator
701 W CESAR E CHAVEZ AVE, SUITE 201
LOS ANGELES, CA 90012
Los Angeles County (213) 217-5300
RAUL NUNGARAY JR. LVN
Licensed Vocational Nurse
701 W CESAR E CHAVEZ AVE
LOS ANGELES, CA 90012
Los Angeles County (213) 571-5300

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 1972860112. It was assigned to this organization in the NPPES registry on April 12, 2012. The provider is doing business as Altamed Sbc Grand Plaza Clinic.

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 Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Altamed Health Services Corp was last updated on April 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.