Taryn Alexandra Pearl

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

892 Aerovista PL
Suite 130
San Luis Obispo, CA 93401-8054

Phone

(805) 395-3277

Fax

(805) 541-1203

NPI assigned

Oct 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Coastal Communities Physician Network IncGroup PAC ID 1951614775, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: taryn.pearl.p8@direct.bfmc.nextgenshare.com
• Direct secure messaging: taryn.pearl.p1@direct.bfmc.nextgenshare.com

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.

• Coastal Communities Physician Network, Inc.

  • Health Maintenance Organization
  • San Luis Obispo, CA
  • NPI 1275735011
  Medicare reassignment Care Compare group
• First Choice Physician Partners

  • Neurological Surgery Physician
  • Modesto, CA
  • NPI 1104183052
  Medicare reassignment
• First Choice Physician Partners

  • Obstetrics & Gynecology Physician
  • San Luis Obispo, CA
  • NPI 1750716247
  NPD
• First Choice Physician Partners

  • Ophthalmology Physician
  • El Monte, CA
  • NPI 1912732892
  NPD
• Bakersfield Family Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Bakersfield, CA
  • NPI 1013912641
  NPD (past)
• First Choice Physician Partners

  • Internal Medicine Physician
  • Modesto, CA
  • NPI 1912264862
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1033684774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 AEROVISTA PL",
            "address_2": "SUITE 130",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018054",
            "telephone_number": "805-395-3277",
            "fax_number": "805-541-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "892 AEROVISTA PL",
            "address_2": "SUITE 130",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018054",
            "telephone_number": "805-395-3277",
            "fax_number": "805-541-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARL",
        "first_name": "TARYN",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avery John Paulson, RN, NP
• Peaceful Mind, Inc.
• Peak Enterprise, LLC
• Peak Vision, a Medical Corporation
• Peakmind Mental Health & Performance Wellness, Professional Nursing Corporation
• Michael Pearson
• Margaret Grace Peavy, LCSW
• Madeleine Pechner
• Carl Curtis Peck, M.D.
• Jac W Pedersen II, D.D.S.

• Physician Assistant in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.