East Side Ketamine Specialists

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EAST SIDE KETAMINE SPECIALISTS

Doing business as

RPCS InscapeLA

Practice address

143 N Larchmont Blvd FL 2
Los Angeles, CA 90004-3704

Phone

(707) 570-9981

NPI assigned

Mar 16, 2023

Organization subpart

No

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

Authorized official

Name

Rachel Pearl, MDNPI 1316932346

Title

Director/President

Phone

(707) 570-9981

Specialties & licenses 1

Addresses

Other names 1

• RPCS InscapeLA Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Claire Pearl, M.D.

  • Emergency Medicine Physician
  • West Hollywood, CA
  • NPI 1316932346
  NPD Authorized official

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1679274559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 SILVERWOOD TER",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900261469",
            "telephone_number": "707-570-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 N LARCHMONT BLVD FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043704",
            "telephone_number": "707-570-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SIDE KETAMINE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "PEARL",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "707-570-9981",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RPCS InscapeLA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• East Los Angeles Health Task
• East Los Angeles Health Task Force
• East Los Angeles Healthcare, LLC
• East Los Angeles Remarkable Citzens' Association, Inc.
• East Los Angeles Womens Center
• East Side Pathology Associates Medical Group, Inc.
• East Sunset Imaging Inc
• East Terrace Rehabilitation & Wellness Centre LP
• East West Drugs
• East-West Eye Institute a Medical Corporation

• Mental Health Clinic/Center (Including Community Mental Health Center) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.