Individual provider Active NPI

Ronnie Palache, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Calabasas, CA
National Provider Identifier
1588916878
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
22439 Issued in CA
Practice address
24151 Ventura Blvd Ste 120
Calabasas, CA 91302-1354
Phone
(855) 501-1004
NPI assigned
Oct 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22439 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 22439 CA Primary

Addresses

Primary practice location

24151 Ventura Blvd Ste 120
Calabasas, CA 91302-1354

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954

Other practice location 1

5251 Villeboso Ave
Woodland Hills, CA 91364-1652
Phone (818) 264-9263

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rpalache608377@oc.providencedirect.org

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
I20121206000102 CA Practitioner - Nurse Practitioner 7012169634 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ukiah Adventist HospitalGroup PAC ID 6406816123, 136 clinicians

Practice addresses (Care Compare)

115 Hospital Dr
Ukiah, CA 95482-4591
Phone (707) 463-2400

1165 S Dora St
Suite D1
Ukiah, CA 95482-6353
Phone (707) 462-3111

15630 18TH Ave
Clearlake, CA 95422-9336
Phone (707) 994-6486

234 Hospital Dr
Ukiah, CA 95482-4560
Phone (707) 462-0681

238 Hospital Dr
Suite a
Ukiah, CA 95482-4559

240 Hospital Dr
Ukiah, CA 95482-4558
Phone (707) 462-1928

245 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111

246 Hospital Dr
Ukiah, CA 95482-4533
Phone (707) 463-8011

248 Hospital Dr
Suite B
Ukiah, CA 95482-4555
Phone (707) 467-5250

260 Hospital Dr
Ukiah, CA 95482-4568

275 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111

275 Hospital Dr
Ukiah, CA 95482-4564

415 Hospital Dr
Ukiah, CA 95482-4545
Phone (707) 467-5230

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Clearlake Hospital Inc. CurrentSince Jun 16, 2024 Accepting new patients
Ukiah Adventist Hospital CurrentSince Nov 1, 2024 Accepting new patients
Ukiah Adventist Hospital CurrentSince Nov 1, 2024 Accepting new patients
Providence Facey Medical Foundation CurrentSince Nov 3, 2019 Accepting new patients
Providence Saint Johns Medical Foundation CurrentSince Jul 1, 2018 Accepting new patients
Providence Facey Medical Foundation CurrentSince Nov 3, 2019 Accepting new patients
Mark David Levine, MD Burlingame PC Past Accepting new patients
Mark David Levine M.D. Professional Corporation Psychiatric/Mental Health Past Accepting new patients

Locations

15230 Lakeshore Dr
Clearlake, CA 95422
Phone (707) 995-4500

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

12414 Exposition Blvd
Los Angeles, CA 90064
Phone (310) 272-7640

8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000

5125 Skyway
Paradise, CA 95969
Phone (530) 872-2000

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

1821 Wilshire Blvd
Ste 100
Santa Monica, CA 90403
Phone (310) 575-3100

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

Interoperability endpoints

  • Direct secure messaging: ronnie.palache.p1@direct.lakeside.nextgenshare.com
  • Direct secure messaging: rpalache608377@oc.providencedirect.org

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1588916878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24151 VENTURA BLVD STE 120",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021354",
            "telephone_number": "855-501-1004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5251 Villeboso Ave",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913641652",
            "country_code": "US",
            "telephone_number": "818-264-9263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALACHE",
        "first_name": "RONNIE",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22439",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "22439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpalache608377@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1821 Wilshire Blvd Ste 100",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904035627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.