Individual provider Active NPI

Richard Val Rascon, FNP AND PA

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1053394809
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
241526 Issued in CA
Practice address
2016 Morse Ave
Sacramento, CA 95825-2135
Phone
(916) 973-7750
Fax
(916) 973-7739
NPI assigned
Nov 25, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10203 CA
Family Nurse Practitioner 363LF0000X 241526 CA Primary

Addresses

Primary practice location

2016 Morse Ave
Sacramento, CA 95825-2135

Mailing address

2260 Ralston Rd
Sacramento, CA 95821-4651
Phone (916) 359-4117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10203CAMDPhysician Assistant
241526CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1053394809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 RALSTON RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958214651",
            "telephone_number": "916-359-4117",
            "fax_number": "916-973-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 MORSE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252135",
            "telephone_number": "916-973-7750",
            "fax_number": "916-973-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASCON",
        "first_name": "RICHARD",
        "middle_name": "VAL",
        "name_prefix": "Mr.",
        "credential": "FNP AND  PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "10203",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "241526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.