Organization Active NPI

Western Pulmonary Medical Group Inc

  • Pulmonary Disease Physician
  • Irvine, CA
National Provider Identifier
1104905199
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
WESTERN PULMONARY MEDICAL GROUP INC
Practice address
19742 Macarthur Blvd Ste 100
Irvine, CA 92612-2408
Phone
(949) 428-0330
Fax
(714) 879-1049
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
James L Pearle, MD
Title
MD Owner
Phone
(714) 446-8702

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

19742 Macarthur Blvd Ste 100
Irvine, CA 92612-2408

Mailing address

19742 Macarthur Blvd Ste 100
Irvine, CA 92612-2408
Phone (949) 428-0330

Other identifiers 4

IdentifierTypeStateIssuer
ZZZ97067ZOtherCABLUE SHIELD
199372700OtherCADEPT OF LABOR PROV NUMBER
GR0014371OtherCAMEDI-CAL GRP PRV NUMBER
1982783940OtherCADR PEARLE NPI

National Provider Directory

National Provider Directory

Locations

220 Laguna Rd
Ste 2
Fullerton, CA 92835
Phone (714) 255-8343

1440 N Harbor Blvd
Ste 114
Fullerton, CA 92835
Phone (714) 446-7454

301 W Bastanchury Rd
Ste 220
Fullerton, CA 92835
Phone (714) 446-7454

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1104905199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19742 MACARTHUR BLVD STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122408",
            "telephone_number": "949-428-0330",
            "fax_number": "714-879-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19742 MACARTHUR BLVD STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122408",
            "telephone_number": "949-428-0330",
            "fax_number": "714-879-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PULMONARY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "PEARLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "714-446-8702",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ97067Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR PROV NUMBER",
            "identifier": "199372700",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL GRP PRV NUMBER",
            "identifier": "GR0014371",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR PEARLE NPI",
            "identifier": "1982783940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.