ALTAMED HEALTH SERVICES CORP — NPI 1902192875 (Licensed & Credentialed PACE Provider Organization in NORWALK, CA)

CMS-1500 Box 24J / 33a • NPI

1902192875

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

251T00000X

Licensed & Credentialed PACE Provider Organization

Box 32 Service Location & ZIP+4

11541 ROSECRANS AVE, NORWALK, CA, 90650-3898

✓ 9-Digit EDI 837 ZIP+4 (90650-3898)

Practice Phone & Referral Fax

(562) 923-9414

Fax: (562) 622-1902

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1902192875 (ALTAMED HEALTH SERVICES CORP) 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

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1902192875` (NPI-2 Organization / Facility)
Provider / Legal Name	ALTAMED HEALTH SERVICES CORP
Plain-English Specialty	Licensed & Credentialed PACE Provider Organization NUCC Code: `251T00000X` (PACE Provider Organization)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	11541 ROSECRANS AVE, NORWALK, CA, 90650-3898
Practice Telephone / Fax	Tel: (562) 923-9414 \| Fax: (562) 622-1902
Administrative Mailing Address	2040 CAMFIELD AVE, LOS ANGELES, CA, 90040-1501
Enumeration & Last Sync	Enumerated: 2011-06-20 \| CMS Record Updated: 2022-04-26
Authorized Official	ROBERT YOUNG (VP, Patient Financial Services)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

11541 ROSECRANS AVE, NORWALK, CA, 90650-3898

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Plain-English Taxonomy & CMS Crosswalk (251T00000X)

What Does Taxonomy Code 251T00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251T00000X translates to:
"Licensed & Credentialed PACE Provider Organization"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified PACE Provider Organization for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALTAMED HEALTH SERVICES CORP)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251T00000X` — PACE Provider Organization Plain English: Licensed & Credentialed PACE Provider Organization	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ALTAMED HEALTH SERVICES CORP (NPI #1902192875)