Phyllis R Pearle, MS, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

GC000103 Issued in CA

Practice address

5730 Telegraph Ave Ste 117
Oakland, CA 94609-1710

Phone

(510) 570-3515

Fax

(415) 369-1391

NPI assigned

Jan 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Sutter Bay Hospitals

  • Rehabilitation Hospital Unit
  • Oakland, CA
  • NPI 1194171371
  NPD (past)
• Sutter Bay Medical Foundation

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1003267196

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1689652828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4367 EDGEWOOD AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021315",
            "telephone_number": "510-919-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 TELEGRAPH AVE STE 117",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091710",
            "telephone_number": "510-570-3515",
            "fax_number": "415-369-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARLE",
        "first_name": "PHYLLIS",
        "middle_name": "R",
        "credential": "MS, CGC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "GC000103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chaya Erna Pearl, PPS
• Jennifer Pearl
• Robert Edward Pearl
• Robert M. Pearl, MD
• Taylor Michelle Pearl, MD
• Natanya Pearlman, LCSW
• Sanford Pearlman, MS, MFT
• Willow Pearson Trimbach, PSYD, LMFT, MT-BC
• Catherine Pearson, MD
• Christopher Paul Pearson, L.AC

• Genetic Counselor (M.S.) in Oakland, CA
• Providers in Oakland, CA by specialty
• Genetic Counselor (M.S.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.