Active NPI
Clinton Pearl, PA
- Physician Assistant
- Salinas, CA
National Provider Identifier
1942255153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 146558
- Practice address
- 450 E Romie LN
Salinas, CA 93901-4029 - Phone
- (831) 759-1840
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 146558 | CA | Primary |
Addresses
Primary practice location
450 E Romie LN
Salinas, CA 93901-4029
Mailing address
PO Box 2420
Salinas, CA 93902-2420
Phone (831) 649-1000
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14658 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| PA 146558 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263168000000",
"number": "1942255153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2420",
"city": "SALINAS",
"state": "CA",
"postal_code": "939022420",
"telephone_number": "831-649-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 E ROMIE LN",
"city": "SALINAS",
"state": "CA",
"postal_code": "939014029",
"telephone_number": "831-759-1840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARL",
"first_name": "CLINTON",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2010-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA 146558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.