Dale Lawrence Pearlman, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G030293 Issued in CA

Practice address

1220 University Dr
Suite #203
Menlo Park, CA 94025-4265

Phone

(650) 325-0505

Fax

(650) 325-0932

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1619082047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 UNIVERSITY DR",
            "address_2": "SUITE #203",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254265",
            "telephone_number": "650-325-0505",
            "fax_number": "650-325-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 UNIVERSITY DR",
            "address_2": "SUITE #203",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254265",
            "telephone_number": "650-325-0505",
            "fax_number": "650-325-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARLMAN",
        "first_name": "DALE",
        "middle_name": "LAWRENCE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G030293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00G302930",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER",
            "identifier": "00G302930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shivani Patel, PHD
• Tulsi Pravin Patel, MD
• Kasey Pattee, DPT, ATC
• Brittney Patterson
• Jamie Marie Paychev, DDS
• Peter Pearson, PH.D
• Pech5 MG Oc LLC
• Kathleen Pederson
• Benjamin Jeffrey Peipert, MD
• Peter Pellionisz, MD, PHD

• Dermatology Physician in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.