PEARL BASALDUA LPCC
NPI 1700409760
Counselor - Professional in Pasadena, CA
About Pearl Basaldua Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEARL BASALDUA LPCC (NPI 1700409760) is an individual professional provider in Pasadena, California, licensed in California (LPCC20919) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pearl Basaldua Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Pearl Basaldua reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rancho Cucamonga, CA 91730
- Reassigned Medicare billing, California enrollment
- 21 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PASADENA, CA 91107
PASADENA, CA 91107
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pearl Basaldua's NPI number?
The NPI number for Pearl Basaldua is 1700409760. It was assigned to this individual provider in the NPPES registry on May 26, 2020.
Where is Pearl Basaldua located?
Pearl Basaldua practices at 2555 E Colorado Blvd Ste 308, Pasadena, CA 91107. The listed phone number is (877) 622-0013.
What is Pearl Basaldua's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Pearl Basaldua enrolled in Medicare?
Yes. Pearl Basaldua is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Pearl Basaldua's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pearl Basaldua reassigns Medicare benefits to Optum Behavioral Care Of California, P.C. (Rancho Cucamonga, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pearl Basaldua's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Pearl Basaldua was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pearl Basaldua, LPCC · NPI 1700409760
Professional provider in Pasadena, California. Individual provider, active in the CMS NPPES registry since May 26, 2020.
## Identity
- **NPI:** 1700409760 (Entity type: Individual)
- **Enumerated:** May 26, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPCC20919 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2555 E COLORADO BLVD STE 308, Pasadena, CA 91107-6649
- **Phone:** (877) 622-0013
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Optum Behavioral Care Of California, P.C. (NPI 1417718297, Rancho Cucamonga, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1700409760) · Data from the CMS NPPES public registry.