Healthcare Provider Details

I. General information

NPI: 1629835426
Provider Name (Legal Business Name): ALTURA CENTERS FOR HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2024
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1134 E CARTMILL AVE
TULARE CA
93274
US

IV. Provider business mailing address

1134 E CARTMILL AVE
TULARE CA
93274
US

V. Phone/Fax

Practice location:
  • Phone: 559-686-9097
  • Fax: 559-556-0083
Mailing address:
  • Phone: 559-685-4601
  • Fax: 559-556-0083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: GRACIELA SOTO PEREZ
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 559-685-4601