Individual provider Active NPI

Rick Dalmacio Pasalo

  • Psychiatric/Mental Health Nurse Practitioner
  • Clearlake, CA
National Provider Identifier
1689321580
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95028903 Issued in CA
Practice address
7000B S Center Dr
Clearlake, CA 95422-8458
Phone
(707) 994-7090
Fax
(707) 994-7164
NPI assigned
Mar 10, 2022
Last updated
May 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95028903 CA Primary
Registered Nurse 163W00000X 95210829 CA
Psychiatric/Mental Health Registered Nurse 163WP0808X 95210829 CA

Addresses

Primary practice location

7000B S Center Dr
Clearlake, CA 95422-8458

Mailing address

7000B S Center Dr
Clearlake, CA 95422-8458
Phone (707) 703-5600

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
I20251021001336 CA Practitioner - Nurse Practitioner 8628566841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of LakeGroup PAC ID 2466495429, 12 clinicians

Practice addresses (Care Compare)

6302 13TH Ave
Lucerne, CA 95458-1034
Phone (707) 274-9101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95210829CAMDRegistered Nurse
95028903CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Lake CurrentSince Jul 25, 2025 Accepting new patients
County of Lake CurrentSince Jul 25, 2025 Accepting new patients

Locations

7000B S Center Dr
Clearlake, CA 95422
Phone (707) 274-9101

7000B S Center Dr
Unit A
Clearlake, CA 95422

Organizations & group practices 2

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

Hospital & facility affiliations 1

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": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1689321580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000B S CENTER DR",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "954228458",
            "telephone_number": "707-703-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000B S CENTER DR",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "954228458",
            "telephone_number": "707-994-7090",
            "fax_number": "707-994-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASALO",
        "first_name": "RICK",
        "middle_name": "DALMACIO",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-10",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95028903",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95210829",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95210829",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearlake, CA

Sources for this page

Verify at the official NPI Registry.