- Medicare Primary Care in Los Angeles, CA

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Los Angeles, California. The current practice location for is 303 Loma Dr Ste 202, Los Angeles, California. For appointments, you can reach them via phone at (323) 635-1140. The mailing address for is 4816 E 3rd St, Los Angeles, California and phone number is (323) 780-4510.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1740835743. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (323) 635-1140.

Contact Information

303 Loma Dr Ste 202
Los Angeles
CA 90017-1103
(323) 635-1140
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location303 Loma Dr Ste 202, Los Angeles, California
Authorized Official Name and PositionEloisa Perard (PRESIDENT & CEO)
Authorized Official Contact3236694321
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

4816 E 3rd St
Los Angeles
CA 90022-1602

Ph: (323) 780-4510
303 Loma Dr Ste 202
Los Angeles
CA 90017-1103

Ph: (323) 635-1140

NPI Details:

NPI Number1740835743
Provider Enumeration Date08/06/2019
Last Update Date06/27/2024

Medicare PECOS Information:

Medicare PECOS PAC ID3072619618
Medicare Enrollment IDO20170425001131

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740835743NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameKathleen Anne Melez
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1053469874
PECOS PAC ID: 2365437852
Enrollment ID: I20040415000327
Provider NameEddie Hao Uy
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1215008065
PECOS PAC ID: 7315936556
Enrollment ID: I20040511001480
Provider NameGisella V Olivares
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821138405
PECOS PAC ID: 1951381490
Enrollment ID: I20040723000898
Provider NameGoretti Garcia
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487740619
PECOS PAC ID: 8426008616
Enrollment ID: I20050125001149
Provider NameRyan K Lee
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1982799953
PECOS PAC ID: 0345261764
Enrollment ID: I20051213000940
Provider NameSilverio P Arano
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447229851
PECOS PAC ID: 2163430398
Enrollment ID: I20060330000251
Provider NameMichelle Faraday Demitri
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710925623
PECOS PAC ID: 8123124542
Enrollment ID: I20070501000697
Provider NameMaria Teresa E Lim Heya
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1952348849
PECOS PAC ID: 7012013436
Enrollment ID: I20070501000709
Provider NameAlbert A Nassir
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1821161860
PECOS PAC ID: 7315020146
Enrollment ID: I20080215000680
Provider NameKourosh Daneshgar
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1275619736
PECOS PAC ID: 8224111059
Enrollment ID: I20080313000165
Provider NameKraig L Golden
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689713380
PECOS PAC ID: 7911023973
Enrollment ID: I20100927001335
Provider NameEric Chan
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1780773044
PECOS PAC ID: 0840483756
Enrollment ID: I20101025000290
Provider NameJamie C Lin
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1588960538
PECOS PAC ID: 8022286780
Enrollment ID: I20110725000035
Provider NameBen Ha
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1043305774
PECOS PAC ID: 6800066523
Enrollment ID: I20120125000840
Provider NameDavid Liu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700975976
PECOS PAC ID: 5799851226
Enrollment ID: I20130213000412
Provider NameCornelia R Dangla Cruz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710320536
PECOS PAC ID: 2961633128
Enrollment ID: I20140401001601
Provider NameMargarita Rodriguez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285912741
PECOS PAC ID: 5890927487
Enrollment ID: I20140414001460
Provider NameAlfred J Pennisi
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1356444855
PECOS PAC ID: 5496978157
Enrollment ID: I20140527001341
Provider NameJessica B Simpson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1295901908
PECOS PAC ID: 0749342202
Enrollment ID: I20150122001549
Provider NameMyla Pineda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134533318
PECOS PAC ID: 0840515698
Enrollment ID: I20150219000364
Provider NameLarry Lee Alenbaugh
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1881631885
PECOS PAC ID: 5294897922
Enrollment ID: I20170106000413
Provider NameMoe Moe Kyi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487932612
PECOS PAC ID: 9335315282
Enrollment ID: I20170530001728
Provider NameCecilia Mitchell
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1053483339
PECOS PAC ID: 9931476546
Enrollment ID: I20170602001744
Provider NameKarla Turner
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1003975566
PECOS PAC ID: 1456628064
Enrollment ID: I20170602001911
Provider NameMoe Aung
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427370618
PECOS PAC ID: 3678768330
Enrollment ID: I20170831001913
Provider NameRonald Redoblado
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1336204866
PECOS PAC ID: 3971886466
Enrollment ID: I20190620002419
Provider NameDienan Nhu Tran
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1841465721
PECOS PAC ID: 8426382797
Enrollment ID: I20190620002840
Provider NameAnnie Ledoux
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1689933178
PECOS PAC ID: 0345574513
Enrollment ID: I20190620003225
Provider NameEric De Leon Celo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275576845
PECOS PAC ID: 1355447681
Enrollment ID: I20190621002405
Provider NameConnie Millare Pasco
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1700051968
PECOS PAC ID: 0345574448
Enrollment ID: I20190624002090
Provider NameMing Jacqueline Luong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831146174
PECOS PAC ID: 6800018581
Enrollment ID: I20190626003404
Provider NameAnselm P Hall
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1679642243
PECOS PAC ID: 8325321730
Enrollment ID: I20190716003711
Provider NameSusan Del Rosario
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1679514798
PECOS PAC ID: 4385740703
Enrollment ID: I20190729003492
Provider NameDeanah Jibril
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1134183114
PECOS PAC ID: 3173660784
Enrollment ID: I20190918001298
Provider NameAldene Olia Zeno
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1265708655
PECOS PAC ID: 1153644588
Enrollment ID: I20191007002742
Provider NameHla Moe
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811316151
PECOS PAC ID: 5799016366
Enrollment ID: I20191011002094
Provider NameNhan Nguyen Trong Pham
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588018741
PECOS PAC ID: 2769713171
Enrollment ID: I20191016003128
Provider NameDouglas P. Frechtman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538578109
PECOS PAC ID: 6103258975
Enrollment ID: I20191115001721
Provider NameHoury Koushakjian
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1972541654
PECOS PAC ID: 1658477070
Enrollment ID: I20191121001267
Provider NameAlexander L Interiano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609407402
PECOS PAC ID: 1557790888
Enrollment ID: I20200407002452
Provider NameGiselle Carvalho
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417330291
PECOS PAC ID: 0840595419
Enrollment ID: I20200411000707
Provider NameYekeen Adagbada
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003472309
PECOS PAC ID: 3375872252
Enrollment ID: I20210111002605
Provider NameMarie Shin
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1275824971
PECOS PAC ID: 3476793704
Enrollment ID: I20210112002755
Provider NameLizeth Lopez Zamora
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023563848
PECOS PAC ID: 9537564661
Enrollment ID: I20210826003103
Provider NameZane Grant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922770874
PECOS PAC ID: 0143619585
Enrollment ID: I20211105001050
Provider NameSaira Dar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366412165
PECOS PAC ID: 7911949540
Enrollment ID: I20220113002127
Provider NameShapan Debnath
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730614652
PECOS PAC ID: 8325312168
Enrollment ID: I20220411002658
Provider NameUmangi P Popat
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1114125085
PECOS PAC ID: 2769567577
Enrollment ID: I20220715002513
Provider NameAnastasia Fransisca
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598075418
PECOS PAC ID: 3375919202
Enrollment ID: I20221018003152
Provider NameAhoo Sharif Sahba
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1295924611
PECOS PAC ID: 9234500976
Enrollment ID: I20230515001441
Provider NamePratima Gautam
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1114658267
PECOS PAC ID: 8527428671
Enrollment ID: I20230720002024
Provider NameJohnny Chieu Tan Pham
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1811645294
PECOS PAC ID: 9133589179
Enrollment ID: I20230721001769
Provider NameCherry Ma
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1528317070
PECOS PAC ID: 3870721319
Enrollment ID: I20240611002226
Provider NameBo K Shin
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1568769149
PECOS PAC ID: 1557532439
Enrollment ID: I20240618003639
Provider NameEsther Ra
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1902426703
PECOS PAC ID: 6800339847
Enrollment ID: I20240619001338
Provider NameAlexander Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023674660
PECOS PAC ID: 1456894336
Enrollment ID: I20240620000271
Provider NameMartha Mateo
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215584974
PECOS PAC ID: 7012454473
Enrollment ID: I20240802000879
Provider NameCynthia Elide Alonzo
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174851638
PECOS PAC ID: 9335689058
Enrollment ID: I20240909004508

Reviews and Comments


Clinic/Center in Los Angeles, CA

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Altamed Health Services Corporation
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Phone: 323-832-7527    Fax: 323-832-7599

Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005
Phone: 213-201-1623    Fax: 213-201-1595

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.