John Pangallo, SUDRC
Rehabilitation Practitioner · Kings Beach, CA
John Pangallo, SUDRC is a rehabilitation practitioner with a practice address in Kings Beach, California, and NPI 1568653905, issued on Aug 8, 2007. Check the license (California 9579, as entered in NPPES) with the California board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- John Pangallo
- Credential
- SUDRC
- Primary taxonomy
- Rehabilitation Practitioner 225400000X
- License number
- 9579 CA
Self-reported in NPPES; status is on the state search - Practice location
- 8491 North Lake Blvd, Kings Beach, CA 96143
- Phone
- (530) 546-5641
- Enumerated
- Aug 8, 2007
- Entity
- Type 1 · individual
Also registered at 8491 North Lake Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Richard Brown, CCDS, CADCIIAddiction (Substance Use Disorder) Counselor1528208725
Verify John Pangallo in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 9579Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
1 rehabilitation practitioner records list a Kings Beach practice address
They are 1 of the 35 NPPES records with a Kings Beach practice address, and 11,651 rehabilitation practitioner records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
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Common questions
What is John Pangallo, SUDRC's NPI number?
John Pangallo, SUDRC's National Provider Identifier (NPI) is 1568653905, issued on Aug 8, 2007. An NPI identifies a provider in billing; it is not a license.
Where is John Pangallo, SUDRC located?
The NPPES record lists a practice address at 8491 North Lake Blvd, Kings Beach, CA, 96143. Phone: (530) 546-5641. Providers update this record themselves, so call before visiting.
How can I verify John Pangallo, SUDRC's license?
NPPES lists California license number 9579, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.