Altera Practice and Consulting Inc.
Organization Active NPI Clinic/Center · Albany, CA
NPI 1235928656 · NPPES record last updated May 2, 2025
Key facts
- NPI
- 1235928656
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- ALTERA PRACTICE AND CONSULTING INC.
- Practice address
- 400 Evelyn Ave Ste 107
Albany, CA 94706-1350 - Phone
- (510) 524-4040
- NPI assigned
- May 2, 2025
- Organization subpart
- No
Authorized official
- Name
- Dr. Keith Castaneto, MD
- Title
- Ceo
- Phone
- (917) 584-6884
Practitioners 1
-
Keith Castaneto, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250830000621 | CA | Part B Supplier - Clinic/Group Practice | 5698276681 |
Receives reassigned benefits from 1 practitioner Practice locations: Albany, CA |
National Provider Directory
Locations
400 Evelyn Ave
Ste 107
Albany, CA 94706
Phone (510) 524-4040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
400 Evelyn Ave Ste 107
Albany, CA 94706-1350
Mailing address
400 Evelyn Ave Ste 107
Albany, CA 94706-1350
Phone (917) 584-6884
Other providers in Albany, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.