Active NPI
Daniel Dysart Pearce, D.O.
- Internal Medicine Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20A5464
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX54640 | Medicaid | CA |
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
Enrollment records 1
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.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5464 | CA | MD | Registered Nurse |
| 20A5464 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Healthcare | Current | 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 | Current | Accepting new patients | |
| Neighborhood Healthcare | Current | 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
- dpearce96831@direct.llu.edu
- 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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
dba Neighborhood Healthcare - Escondido
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1598703647
-
dba DAP Health-Borrego Springs Community Health Center
- Federally Qualified Health Center (FQHC)
- Borrego Springs, CA
- NPI 1134144165
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Upland, CA
- NPI 1083863914
-
dba Neighborhood Healthcare - Beaumont
- Federally Qualified Health Center (FQHC)
- Beaumont, CA
- NPI 1629601653
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.