Healthcare Provider Details

I. General information

NPI: 1063338846
Provider Name (Legal Business Name): ALTERA HEALTH PROFESSIONAL NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 HAMILTON AVE
PALO ALTO CA
94301-2583
US

IV. Provider business mailing address

PO BOX 8013
GREENSBORO NC
27419-0013
US

V. Phone/Fax

Practice location:
  • Phone: 909-255-1342
  • Fax: 888-808-5158
Mailing address:
  • Phone: 909-255-1342
  • Fax: 888-808-5158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RUBY TAN RAMOS
Title or Position: PRESIDENT
Credential: PMHNP
Phone: 909-255-1342