Active NPI
Nicole Pearlman Davis
- Pediatric Occupational Therapist
- Tarzana, CA
National Provider Identifier
1861970741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- CA17311
- Practice address
- 19019 Ventura Blvd
Tarzana, CA 91356-3253 - Phone
- (818) 501-8352
- NPI assigned
- Aug 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | 07311 | CA | |
| Pediatric Occupational Therapist | 225XP0200X | CA17311 | CA | Primary |
Addresses
Primary practice location
19019 Ventura Blvd
Tarzana, CA 91356-3253
Mailing address
19019 Ventura Blvd
Tarzana, CA 91356-3253
Phone (818) 501-8352
Other names 1
- Nicole Pearlman
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
| License | State | Type | Specialty |
|---|---|---|---|
| 07311 | CA | MD | Feeding, Eating & Swallowing Occupational Therapist |
| CA17311 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1861970741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19019 VENTURA BLVD",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563253",
"telephone_number": "818-501-8352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19019 VENTURA BLVD",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563253",
"telephone_number": "818-501-8352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "NICOLE",
"middle_name": "PEARLMAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-01",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225XF0002X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": "CA",
"license": "07311",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "CA17311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "PEARLMAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.