Organization Active NPI

Blue Pearl Project

  • Respiratory/Developmental/Rehabilitative Specialist/Technologist
  • Wildomar, CA
National Provider Identifier
1497139539
Registry record updated Jul 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X
Legal business name
BLUE PEARL PROJECT
Practice address
23690 Bundy Canyon Rd
Wildomar, CA 92595-7588
Phone
(951) 805-7419
NPI assigned
Jul 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2015

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

Authorized official

Name
Mrs. Debbie Phillips
Title
President
Phone
(951) 805-7419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respiratory/Developmental/Rehabilitative Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 225500000X Primary

Addresses

Primary practice location

23690 Bundy Canyon Rd
Wildomar, CA 92595-7588

Mailing address

23690 Bundy Canyon Rd
Wildomar, CA 92595-7588
Phone (951) 805-7419

National Provider Directory

National Provider Directory

Locations

23690 Bundy Canyon Rd
Wildomar, CA 92595
Phone (951) 805-7419

NPI Registry JSON

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437177600000",
    "number": "1497139539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23690 BUNDY CANYON RD",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957588",
            "telephone_number": "951-805-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23690 BUNDY CANYON RD",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957588",
            "telephone_number": "951-805-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE PEARL PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-18",
        "last_updated": "2015-07-18",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-805-7419",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildomar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2015; 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.