John Pangallo, SUDRC
NPI 1568653905 · Addiction (Substance Use Disorder) Counselor · Kings Beach, CA
John Pangallo, SUDRC is a Addiction (Substance Use Disorder) Counselor provider in Kings Beach, CA (NPI 1568653905).
Provider details
- NPI number
- 1568653905
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- SUDRC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Rehabilitation Practitioner225400000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 555 Hospital LnSusanville, CA 96130-4808Phone: (530) 251-8108Fax: (530) 251-2657
- 10015 Palisades Dr Ste 1Truckee, CA 96161-1941Phone: (530) 587-8194
Registry dates
- Enumerated
- 2007-08-08
- Last updated
- 2019-09-18
Frequently asked questions
- What is John Pangallo's NPI number?
- John Pangallo's National Provider Identifier (NPI) is 1568653905, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Pangallo's specialty?
- John Pangallo is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is John Pangallo located?
- John Pangallo's practice location on file with NPPES is 8491 North Lake Blvd, Kings Beach, CA 96143.
- What is John Pangallo's phone number?
- The practice phone number listed in the NPPES registry for John Pangallo is (530) 546-5641.
- Is John Pangallo's NPI active?
- Yes — John Pangallo's NPI (1568653905) is active in the NPPES registry as of the last update on 2019-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.