Individual provider Active NPI

Dale A Rasmussen, PA-C

  • Physician Assistant
  • Trenton, NJ
National Provider Identifier
1962880864
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00811600 Issued in NJ
Practice address
321 N Warren St
Trenton, NJ 08618-4794
Phone
(609) 278-6029
NPI assigned
May 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1104 NH
Physician Assistant 363A00000X 54022 CA
Physician Assistant 363A00000X 25MP00811600 NJ Primary

Addresses

Primary practice location

321 N Warren St
Trenton, NJ 08618-4794

Mailing address

823 Gateway Center Way
San Diego, CA 92102-4541
Phone (619) 515-2300

Other practice location 1

15477 Ventura Blvd Ste 300
Sherman Oaks, CA 91403-3068
Phone (213) 747-5542

Other identifiers 1

IdentifierTypeStateIssuer
FHC70987FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230215001597 CA Practitioner - Physician Assistant 5395057657 Reassigns benefits to 1 organization
I20231217000009 NJ Practitioner - Physician Assistant 5395057657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry J Austin Health Center, IncGroup PAC ID 9739179409, 23 clinicians

Practice addresses (Care Compare)

112 Ewing St
Trenton, NJ 08609-1004
Phone (609) 278-6029

321 N Warren St
Trenton, NJ 08618-4741
Phone (609) 278-6029

Hospital & facility affiliations

  • Salinas Valley Health Medical Center Hospital, Salinas, CA, CCN 050334
  • Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
54022CAMDPharmacist
1104NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc CurrentSince Feb 6, 2023 Accepting new patients
Henry J Austin Health Center Inc CurrentSince Dec 18, 2023 Accepting new patients
Henry J. Austin Health Center, Inc. CurrentSince Dec 18, 2023 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Feb 6, 2023 Accepting new patients
Henry J Austin Health Center, Inc Past Accepting new patients

Locations

1550 Broadway
#2
San Diego, CA 92101
Phone (619) 515-2525

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

112 Ewing St
Trenton, NJ 08609
Phone (609) 278-6033

321 N Warren St
Trenton, NJ 08618
Phone (609) 278-6029

Interoperability endpoints

  • Direct secure messaging: dale.rasmussen.1@28334.direct.athenahealth.com
  • Direct secure messaging: dale.rasmussen.1@12521.direct.athenahealth.com
  • Direct secure messaging: dale.rasmussen.1@31019.direct.athenahealth.com

Organizations & group practices 12

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1962880864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 GATEWAY CENTER WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024541",
            "telephone_number": "619-515-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N WARREN ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086184794",
            "telephone_number": "609-278-6029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15477 Ventura Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914033068",
            "country_code": "US",
            "telephone_number": "213-747-5542",
            "fax_number": "213-746-9379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "DALE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1104",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54022",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00811600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70987F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.