ALTAMED MEDICAL AND DENTAL GROUP-SOUTH GATE
NPI 1902267479
Clinic/Center - Federally Qualified Health Center (FQHC) in South Gate, CA
NPI Status: Active since March 11, 2016
Contact Information
8627 ATLANTIC AVE
SOUTH GATE, CA
ZIP 90280
Phone: (323) 312-2625
Fax: (323) 312-2984
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Accepts Insurance
- CLIA Number: 05D2127025
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 09-09-2025
About ALTAMED MEDICAL AND DENTAL GROUP-SOUTH GATE
This page provides the complete NPI Profile along with additional information for Altamed Medical And Dental Group-south Gate, a primary care provider established in South Gate, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1902267479 assigned on March 2016. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Altamed Medical And Dental Group-south Gate. The authorized official of this NPI record is Robert U. Young Md (Vp. Patient Financial Services)
- NPI
- 1902267479
- Provider Legal Name
- ALTAMED HEALTH SERVICES CORP
- Other Organization Name
- ALTAMED MEDICAL AND DENTAL GROUP-SOUTH GATE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 8627 ATLANTIC AVE SOUTH GATE, CA 90280
- Location Phone
- (323) 312-2625
- Location Fax
- (323) 312-2984
- Mailing Address
- 2040 CAMFIELD AVE LOS ANGELES, CA 90040
- Mailing Phone
- (323) 725-8751
- Mailing Fax
- (323) 312-2984
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-11-2016
- Last Update Date
- 02-07-2022
- Code Navigator
A primary care provider (PCP) like Altamed Medical And Dental Group-south Gate sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Illinois - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Tennessee - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| PTL5426 | OTHER (01) | CA | MEDICAL BOARD OF CALIFORNIA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2127025
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- September 10, 2023
- Certificate Expiration Date
- September 09, 2025
- Laboratory Director
- MELISSA V. SEE MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Altamed Medical And Dental Group-south Gate in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 0 | 2 | 2 | 6 | 7 | 4 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 0 | 2 | 4 | 6 | 14 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 0 + 2 + 4 + 6 + 1 + 4 + 4 + 1 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1902267479 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1972013001 | CATHERINE PARIS MD Individual | Family Medicine | 8627 ATLANTIC AVE SOUTH GATE, CA 90280 (888) 499-9303 |
| 1508158197 | DR. EDDY ANG MD, MPH Individual | Family Medicine | 8627 ATLANTIC AVE SOUTH GATE, CA 90280 (888) 499-9303 |
| 1134765654 | LILIANA FLORES Individual | Case Manager/Care Coordinator | 8627 ATLANTIC AVE SOUTH GATE, CA 90280 (323) 312-2640 |
| 1922418029 | DR. MELISSA VELEZ SEE M.D. Individual | Family Medicine | 8627 ATLANTIC AVE SOUTH GATE, CA 90280 (818) 261-4505 |
| 1417356916 | GERARDO DANIEL HERNANDEZ MD Individual | Family Medicine | 8627 ATLANTIC AVE SOUTH GATE, CA 90280 (323) 201-3218 |
| 1699351189 | ROBERTO VALENTINO Individual | Student in an Organized Health Care Education/Training Program | 8627 ATLANTIC AVE SOUTH GATE, CA 90280 (323) 312-2605 |
| 1356929772 | JONATHAN GUAJARDO Individual | Student in an Organized Health Care Education/Training Program | 8627 ATLANTIC AVE SOUTH GATE, CA 90280 (323) 312-2605 |
| 1528648318 | EMILY BYRNE DO Individual | Student in an Organized Health Care Education/Training Program | 8627 ATLANTIC AVE SOUTH GATE, CA 90280 (323) 312-2605 |
| 1821444886 | DR. VIVIANA HUANG CHEN M.D., M.P.P. Individual | Family Medicine | 8627 ATLANTIC AVE SOUTH GATE, CA 90280 (888) 499-9303 |
| 1164047114 | ANA MARIA MEJIA CARDENAS MD Individual | Student in an Organized Health Care Education/Training Program | 8627 ATLANTIC AVE SOUTH GATE, CA 90280 (323) 312-2605 |
| 1649856196 | LIEN NGOC TRINH Individual | Family Medicine | 8627 ATLANTIC AVE SOUTH GATE, CA 90280 (323) 312-2605 |
| 1720603772 | DR. SHARON BAKSHI MD Individual | Student in an Organized Health Care Education/Training Program | 8627 ATLANTIC AVE SOUTH GATE, CA 90280 (323) 312-2605 |
| 1205579117 | JUAN ANTONIO VALADEZ DO Individual | Student in an Organized Health Care Education/Training Program | 8627 ATLANTIC AVE SOUTH GATE, CA 90280 (323) 312-2605 |
| 1205579331 | DR. CALVIN TRUONG DO Individual | Student in an Organized Health Care Education/Training Program | 8627 ATLANTIC AVE SOUTH GATE, CA 90280 (323) 312-2605 |
| 1275276362 | CHRISTOPHER ALEXANDER ALVARADO MD Individual | Student in an Organized Health Care Education/Training Program | 8627 ATLANTIC AVE SOUTH GATE, CA 90280 (323) 312-2605 |
| 1487397444 | MARLENY CARMONA MD Individual | Student in an Organized Health Care Education/Training Program | 8627 ATLANTIC AVE SOUTH GATE, CA 90280 (323) 312-2605 |
| 1912644733 | DR. BERNARD HERNANDEZ MD Individual | Student in an Organized Health Care Education/Training Program | 8627 ATLANTIC AVE SOUTH GATE, CA 90280 (323) 312-2605 |
| 1902529829 | IVONNE ELIZONDO RD, LD, CNSC Individual | Dietitian, Registered | 8627 ATLANTIC AVE SOUTH GATE, CA 90280 (888) 499-9303 |
| 1568168698 | DR. LENY JOVANA BROTHERTON DDS Individual | Dentist | 8627 ATLANTIC AVE SOUTH GATE, CA 90280 (888) 226-7479 |
| 1427753540 | ISAAC NGO Individual | Student in an Organized Health Care Education/Training Program | 8627 ATLANTIC AVE SOUTH GATE, CA 90280 (323) 312-2605 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902267479, enumerated in the NPI registry as an "organization" on March 11, 2016
The provider is located at 8627 Atlantic Ave South Gate, Ca 90280 and the phone number is (323) 312-2625
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 05D2127025 for a "federally qualified health center" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on March 11, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.