Organization Active NPI

Altera Health PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1346958204
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ALTERA HEALTH PC
Practice address
3311 S Rainbow Blvd Ste 108
Las Vegas, NV 89146-6596
Phone
(702) 703-5597
NPI assigned
Nov 9, 2022
Last updated
Jun 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ruby Tan RamosNPI 1518392448
Title
Aprn Owner
Phone
(661) 345-9964

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WD0400X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3311 S Rainbow Blvd Ste 108
Las Vegas, NV 89146-6596

Mailing address

13113 Giro Dr
Bakersfield, CA 93314-6600
Phone (702) 703-5597

Other practice location 1

6889 W Charleston Blvd Ste A
Las Vegas, NV 89117-1644
Phone (702) 703-5597

Other practice location 2

9929 N 95th St Ste 101
Scottsdale, AZ 85258-4592
Phone (702) 703-5597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ, CO, NC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20230220000443 NV Part B Supplier - Clinic/Group Practice 0446622526 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Las Vegas, NV
O20240507001796 AZ Part B Supplier - Clinic/Group Practice 0446622526 Receives reassigned benefits from 2 practitioners
Practice locations: Scottsdale, AZ
O20250116000399 CO Part B Supplier - Clinic/Group Practice 0446622526 Receives reassigned benefits from 2 practitioners
Practice locations: Denver, CO
O20250211002331 NC Part B Supplier - Clinic/Group Practice 0446622526 Receives reassigned benefits from 2 practitioners
Practice locations: Greensboro, NC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Altera Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9929 N 95th St
Ste 101
Scottsdale, AZ 85258
Phone (480) 234-8667

3311 S Rainbow Blvd
Ste 108
Las Vegas, NV 89146
Phone (702) 703-5597

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1346958204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13113 GIRO DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933146600",
            "telephone_number": "702-703-5597",
            "fax_number": "702-508-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 S RAINBOW BLVD STE 108",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466596",
            "telephone_number": "702-703-5597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6889 W Charleston Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891171644",
            "country_code": "US",
            "telephone_number": "702-703-5597",
            "fax_number": "702-703-5598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9929 N 95th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584592",
            "country_code": "US",
            "telephone_number": "702-703-5597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALTERA HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "RUBY",
        "authorized_official_middle_name": "TAN",
        "authorized_official_title_or_position": "APRN OWNER",
        "authorized_official_telephone_number": "661-345-9964",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.