{
  "npi": "1114740636",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "ROBERT",
    "authorized_official_last_name": "YOUNG",
    "authorized_official_middle_name": "U",
    "authorized_official_telephone_number": "3236222429",
    "authorized_official_title_or_position": "VP, Patient Financial Services",
    "certification_date": "2024-11-04",
    "enumeration_date": "2024-11-04",
    "last_updated": "2024-11-04",
    "organization_name": "ALTAMED HEALTH SERVICES CORPORATION",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2040 CAMFIELD AVENUE",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "LOS ANGELES",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "900401501",
      "state": "CA",
      "telephone_number": "888-499-9303"
    },
    {
      "address_1": "9056 ROSECRANS AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BELLFLOWER",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "323-597-2154",
      "postal_code": "907062038",
      "state": "CA",
      "telephone_number": "562-205-4380"
    }
  ],
  "taxonomies": [
    {
      "code": "261QI0500X",
      "desc": "Clinic/Center, Infusion Therapy",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": []
  }
}