CMS-1500 Box 24J / 33a • NPI
1114740636
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
261QI0500X
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
9056 ROSECRANS AVE, BELLFLOWER, CA, 90706-2038
✓ 9-Digit EDI 837 ZIP+4 (90706-2038)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1114740636 (ALTAMED HEALTH SERVICES CORPORATION) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1114740636 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ALTAMED HEALTH SERVICES CORPORATION |
| Plain-English Specialty | Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: 261QI0500X (Clinic/Center, Infusion Therapy) |
| Certifying / Licensing Body | Accreditation Association for Ambulatory Health Care (AAAHC) / CMS |
| Practice Location Address | 9056 ROSECRANS AVE, BELLFLOWER, CA, 90706-2038 |
| Practice Telephone / Fax | Tel: (562) 205-4380 | Fax: (323) 597-2154 |
| Administrative Mailing Address | 2040 CAMFIELD AVENUE, LOS ANGELES, CA, 90040-1501 |
| Enumeration & Last Sync | Enumerated: 2024-11-04 | CMS Record Updated: 2024-11-04 |
| Authorized Official | ROBERT YOUNG (VP, Patient Financial Services) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (261QI0500X)
What Does Taxonomy Code 261QI0500X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QI0500X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ALTAMED HEALTH SERVICES CORPORATION)
Typical CPT / Diagnostic Procedures:- Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
- Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures
- Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
261QI0500X — Clinic/Center, Infusion TherapyPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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