Individual provider Active NPI

Lerma Maloma Dacasin, FNP-C

  • Family Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1295566099
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95031586 Issued in CA
Practice address
3660 Park Sierra Dr Ste 208
Riverside, CA 92505
Phone
(951) 687-2800
Fax
(951) 687-7290
NPI assigned
Aug 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95129009 CA
Family Nurse Practitioner 363LF0000X NP95031586 CA Primary

Addresses

Primary practice location

3660 Park Sierra Dr Ste 208
Riverside, CA 92505

Mailing address

3660 Park Sierra Dr Ste 203
Riverside, CA 92505-3071
Phone (951) 687-3400

Other practice location 1

401 E Highland Ave Ste 551
San Bernardino, CA 92404
Phone (909) 882-9150

Other practice location 2

27420 Iris Ave
Moreno Valley, CA 92555-4801
Phone (951) 242-9196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250109002798 CA Practitioner - Nurse Practitioner 1850829425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates Medical Group IncGroup PAC ID 5092604447, 64 clinicians
Alpha Wound Solutions PCGroup PAC ID 3375037443, 6 clinicians

Practice addresses (Care Compare)

22555 Alessandro Blvd
Suite B
Moreno Valley, CA 92553-8533
Phone (951) 656-7081

275 W Hospitality LN
Suite 310
San Bernardino, CA 92408-3265
Phone (951) 229-8408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95129009CAMDRegistered Nurse
NP95031586CAMDFamily Nurse Practitioner

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Nephrology Associates Medical Group Inc CurrentSince May 1, 2025 Accepting new patients
Bio-Medical Applications of California, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Alpha Wound Solutions P.C. CurrentSince Dec 10, 2025 Accepting new patients
Bio-Medical Applications of California, Inc. PastSince Aug 1, 2024 Accepting new patients

Locations

22555 Alessandro Blvd
Ste B
Moreno Valley, CA 92553
Phone (951) 656-1660

27420 Iris Ave
Moreno Valley, CA 92555
Phone (951) 242-9196

3660 Park Sierra Dr
Ste 203
Riverside, CA 92505
Phone (951) 687-3400

3660 Park Sierra Dr
Ste 208
Riverside, CA 92505
Phone (951) 687-2800

275 W Hospitality Ln
Ste 310
San Bernardino, CA 92408
Phone (951) 229-8408

401 E Highland Ave
Ste 551
Sn Bernrdno, CA 92404
Phone (909) 882-1759

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: lerma.dacasin.1@19859.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1295566099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 PARK SIERRA DR STE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053071",
            "telephone_number": "951-687-3400",
            "fax_number": "951-687-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 PARK SIERRA DR STE 208",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92505",
            "telephone_number": "951-687-2800",
            "fax_number": "951-687-7290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E Highland Ave Ste 551",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "92404",
            "country_code": "US",
            "telephone_number": "909-882-9150",
            "fax_number": "909-883-8972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27420 Iris Ave",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925554801",
            "country_code": "US",
            "telephone_number": "951-242-9196",
            "fax_number": "951-243-8690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DACASIN",
        "first_name": "LERMA",
        "middle_name": "MALOMA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95129009",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95031586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.