Pearl Care Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C52179 Issued in CA

Legal business name

PEARL CARE INC

Practice address

12637 Hesperia Rd
Suite 252
Victorville, CA 92395-7774

Phone

(760) 881-1595

NPI assigned

Jan 5, 2010

Organization subpart

No

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

Authorized official

Name

Dima Ali, M.D

Title

President

Phone

(760) 881-1595

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1346570934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16161 VENTURA BLVD",
            "address_2": "SUITE C, PMB 702",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362522",
            "telephone_number": "760-881-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12637 HESPERIA RD",
            "address_2": "SUITE 252",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957774",
            "telephone_number": "760-881-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "DIMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-881-1595",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C52179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cesar Payan, PTA
• Stephanie Monique Paz
• William Edward Pazdral, M.D.
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• Natalie Ann Peisl
• Stacey Pelayo

• Family Medicine Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.