NATHANIEL ALTAVAS MSN, PMHNP-BC, FNP-C
NPI 1790167146
Nurse Practitioner - Family in San Jose, CA
About Nathaniel Altavas Msn, Pmhnp-bc, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NATHANIEL ALTAVAS MSN, PMHNP-BC, FNP-C (NPI 1790167146) is an individual family provider in San Jose, California, licensed in California (95001758) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nathaniel Altavas Msn, Pmhnp-bc, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nathaniel Altavas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN JOSE, CA 95113
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nathaniel Altavas's NPI number?
The NPI number for Nathaniel Altavas is 1790167146. It was assigned to this individual provider in the NPPES registry on June 22, 2015.
Where is Nathaniel Altavas located?
Nathaniel Altavas practices at 99 Almaden Blvd Ste 600, San Jose, CA 95113. The listed phone number is (702) 276-7655.
What is Nathaniel Altavas's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nathaniel Altavas enrolled in Medicare?
Yes. Nathaniel Altavas is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nathaniel Altavas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nathaniel Altavas reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathaniel Altavas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nathaniel Altavas was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nathaniel Altavas, MSN, PMHNP-BC, FNP-C · NPI 1790167146
Family physician in San Jose, California. Individual provider, active in the CMS NPPES registry since June 22, 2015.
## Identity
- **NPI:** 1790167146 (Entity type: Individual)
- **Enumerated:** June 22, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95001758 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 99 ALMADEN BLVD STE 600, San Jose, CA 95113-1605
- **Phone:** (702) 276-7655
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Grow Healthcare Group PC (NPI 1154994846, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790167146) · Data from the CMS NPPES public registry.