Individual provider Active NPI

Daniel A. Pearlstone, SLP CCC

  • Speech-Language Pathologist
  • Mission Viejo, CA
National Provider Identifier
1578030086
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP27939 Issued in CA
Practice address
26651 Cortina Dr
Mission Viejo, CA 92691-5428
Phone
(154) 608-9338
NPI assigned
Nov 1, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X ASHA14095144 CA
Speech-Language Pathologist 235Z00000X SP27939 CA Primary

Addresses

Primary practice location

26651 Cortina Dr
Mission Viejo, CA 92691-5428

Mailing address

26651 Cortina Dr
Mission Viejo, CA 92691-5428
Phone (154) 608-9338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ASHA14095144CAMDSpeech-Language Pathologist
SP27939CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1578030086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26651 CORTINA DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915428",
            "telephone_number": "154-608-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26651 CORTINA DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915428",
            "telephone_number": "154-608-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARLSTONE",
        "first_name": "DANIEL",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "SLP CCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "ASHA14095144",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP27939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.