1. Home
  2. Directory
  3. California
  4. Lynwood
  5. Program Of All Inclusive Care For The Elderly Pace Provider Organization
  6. NPI Profile

ALTAMED PACE-LYNWOOD
NPI 1982990859
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Lynwood, CA

Active since June 20, 2011CLIA 05D2283978 · 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 29, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Altamed Pace-lynwood NPPES

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

ALTAMED PACE-LYNWOOD (NPI 1982990859) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Lynwood, California and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through June 14, 2027 and lists Robert U. Young, Vp, Patient Financial Services, as its authorized official.

NPPES Registry Identity

NPI1982990859
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameALTAMED HEALTH SERVICES CORP
Location Address3820 MARTIN LUTHER KING JR BLVDLynwood, CA 90262-3625
Mailing Address2040 Camfield AveLos Angeles, CA 90040-1501 · (323) 725-8751 · Fax (323) 889-7399
Phone(310) 632-0415
Fax(310) 639-2734
Organization SubpartNo
Authorized OfficialRobert U. YoungVp, Patient Financial Services · (323) 622-2429
Enumeration DateJune 20, 2011
Last NPPES UpdateAugust 29, 2019
✔ NPI 1982990859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies
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.
3820 MARTIN LUTHER KING JR BLVD, Lynwood, CA 90262
Open in Google Maps ↗

Other Names 1

Doing Business AsAltamed Pace-lynwood

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 05D2283978

Altamed Pace - Compton · Compton, CA
Active · expires Jun 14, 2027
CLIA Number05D2283978
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 15, 2025
Certificate Expiration DateJune 14, 2027
Laboratory DirectorEsiquio Casillas
Laboratory Phone(310) 632-0415
Laboratory LocationAltamed Pace - Compton2616 E Alondra Blvd, Compton, CA 90220
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.

ALTAMED HEALTH SERVICES CORPORATION
Clinic/Center (Physical Therapy)
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Los Angeles County (310) 631-0415
MS. LAURA ELIZABETH MURRAY LCSW
Social Worker
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Los Angeles County (310) 632-0415
DR. LISA A BROCKMAN DO
Internal Medicine
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Los Angeles County (310) 632-0415
JUANITA AVILES
Case Manager/Care Coordinator
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Los Angeles County (310) 605-0415
JOSHELA CLARK
Occupational Therapist
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Los Angeles County (310) 632-0415
MARIA ELENA RICO
Case Manager/Care Coordinator
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Los Angeles County (310) 605-0305
TERESA LOPEZ
Licensed Vocational Nurse
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Los Angeles County (310) 632-0415
CRISHANDRA DIONNE FOSTER CNA
Nurse's Aide
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Los Angeles County (310) 632-0415

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 1982990859. It was assigned to this organization in the NPPES registry on June 20, 2011. The provider is doing business as Altamed Pace-Lynwood.

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 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 05D2283978) is associated with this NPI, valid through June 14, 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 29, 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.