Individual provider Active NPI

Daniel Dysart Pearce, D.O.

  • Internal Medicine Physician
  • Riverside, CA
National Provider Identifier
1376635383
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A5464 Issued in CA
Practice address
1971 University Ave
Riverside, CA 92507-5263
Phone
(951) 284-6200
Fax
(360) 462-5826
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A5464 CA Primary

Addresses

Primary practice location

1971 University Ave
Riverside, CA 92507-5263

Mailing address

1971 University Avenue
Riverside, CA 92507-5263
Phone (951) 284-6200

Other practice location 1

250 S G St
San Bernardino, CA 92410-3320
Phone (909) 382-7100

Other identifiers 1

IdentifierTypeStateIssuer
00AX54640MedicaidCA

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081218000223 CA Practitioner - Internal Medicine 3476615832 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5464CAMDRegistered Nurse
20A5464CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Healthcare CurrentSince Sep 1, 2022 Accepting new patients
Dap Health, Inc. Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Oct 16, 2022 Accepting new patients
Neighborhood Healthcare CurrentSince Sep 1, 2022 Accepting new patients

Locations

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

903 E Devonshire Ave
Ste D
Hemet, CA 92543
Phone (951) 216-6100

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

1971 University Ave
Riverside, CA 92507
Phone (951) 284-6200

1970 University Ave
Riverside, CA 92507
Phone (951) 213-3450

41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400

Interoperability endpoints

  • Direct secure messaging: dpearce96831@direct.llu.edu
  • Direct secure messaging: dpearce@borregomedical.directbygreenway.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1376635383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 UNIVERSITY AVENUE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075263",
            "telephone_number": "951-284-6200",
            "fax_number": "360-462-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 UNIVERSITY AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075263",
            "telephone_number": "951-284-6200",
            "fax_number": "360-462-5826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 S G St",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924103320",
            "country_code": "US",
            "telephone_number": "909-382-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "DANIEL",
        "middle_name": "DYSART",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A5464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX54640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.