Pearl E. Grimes MD, Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G51930 Issued in CA

Legal business name

PEARL E. GRIMES MD, INC.

Practice address

5670 Wilshire Blvd Ste 650
Los Angeles, CA 90036-5609

Phone

(323) 467-4389

Fax

(323) 467-4488

NPI assigned

Feb 12, 2018

Organization subpart

No

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

Authorized official

Name

Estela Segura

Title

Office Manager

Phone

(323) 467-4389

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Pearl Grimes, MD

  • Dermatology Physician
  • Los Angeles, CA
  • NPI 1790702751
  Medicare reassignment

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1235639691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 WILSHIRE BLVD STE 650",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365609",
            "telephone_number": "323-467-4389",
            "fax_number": "323-467-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 WILSHIRE BLVD STE 650",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365609",
            "telephone_number": "323-467-4389",
            "fax_number": "323-467-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL E. GRIMES MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "SEGURA",
        "authorized_official_first_name": "ESTELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "323-467-4389"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G51930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "1790702751",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie L. Pearce, PSY.D.
• Keishawn Pearce
• Rebecca Mabey Pearce, R.D.
• Remy Pearce
• Tara Pearce, OTR/L
• Pearl Group Medical Professional Corporation
• Pearl Medical Professional Corporation
• Meghan Haley Pearl, M.D.
• Michael L. Pearl, MD
• Michelle Pearl, D.O.

• Dermatology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.