BLUE PEARL PROJECT (NPI# 1497139539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497139539 |
| Entity Type | Organization |
| Organization Name | BLUE PEARL PROJECT |
| Practice Address |
23690 Bundy Canyon Rd Wildomar CA 92595-7588 |
| Practice Telephone | 9518057419 |
| Mailing Telephone | 9518057419 |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |
| Authorized Official Name | MRS. DEBBIE PHILLIPS (PRESIDENT) |
| Authorized Official Telephone | 9518057419 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
23690 BUNDY CANYON RD |
| City | WILDOMAR |
| State | CA |
| Zip Code | 92595-7588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184190845 | Amber Nicole Salgado | Licensed Vocational Nurse | 33685 Harvest Way East, Wildomar, CA 92595 | 2018-10-22 |
| 1417448168 | Inland Valley Trauma and Acute Care Surgery Apc Inc | Surgery | 36320 Inland Valley Dr Ste 101a, Wildomar, CA 92595 | 2018-05-29 |
| 1033636311 | Omar H Nael | Behavioral Analyst | 35925 Susan Dr, Wildomar, CA 92595 | 2017-08-27 |
| 1023535820 | Dennis Bonavilla | Specialist/Technologist, Other | 34859 Frederick Street, Suite 112, Wildomar, CA 92595 | 2017-08-23 |
| 1578965901 | Purnima K Patel M.d Inc | Internal Medicine | 32423 Inland Valley Dr. Ste 160, Wildomar, CA 92595 | 2014-09-17 |
| 1740523133 | Jerry Zhong Yu | Internal Medicine | 36320 Inland Valley Dr Ste 308, Wildomar, CA 92595 | 2013-04-03 |
| 1871859553 | Norman Orr | Internal Medicine | 36485 Valley Medical Center, Wildomar, CA 92595 | 2012-04-06 |
| 1902190226 | Brian Patrick Tiu | Surgery | 36320 Inland Valley Dr Ste 101, Wildomar, CA 92595 | 2011-06-03 |
| 1508013897 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 24335 Prielipp Rd Bldg A, Ste 116, Wildomar, CA 92595 | 2008-08-19 |
| 1760604383 | Nasko Lubenov Atanassov | Physical Therapist | 36485 Inland Valey Drive, Wildomar, CA 92595 | 2007-05-03 |
| Find all providers in zip 92595 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497371645 | Sleep Technology Specialists, LLC. | Specialist/Technologist | 4108 Crooked Stick Ln, Corona, CA 92883-0616 | 2020-06-24 |
| 1376166116 | Tammy Crawford | Specialist/Technologist | 3459 Fairview Dr, Vista, CA 92084-1019 | 2020-05-27 |
| 1689200990 | Aunika Stratton | Specialist/Technologist | 456 S Catalina St, Ventura, CA 93001-3627 | 2020-03-18 |
| 1275179244 | Richard Anthony Mendoza | Specialist/Technologist | 3123 Pearlwood Dr, Lancaster, CA 93536-4715 | 2019-11-25 |
| 1942869466 | Joshua Aaron Ruelas | Specialist/Technologist | 2448 Nutwood Ave Apt F30, Fullerton, CA 92831-5431 | 2019-06-08 |
| 1174086888 | Jamila Patrice Clark | Specialist/Technologist | 715 W Milling St Unit 405, Lancaster, CA 93534-3173 | 2019-04-09 |
| 1588135487 | Lisa Marie Rulli | Specialist/Technologist | 12012 Wilshire Blvd Ste 203, Los Angeles, CA 90025-1203 | 2018-12-17 |
| 1659861185 | Derriea Mcglothern | Specialist/Technologist | 23126 Rider St, Perris, CA 92570 | 2018-05-10 |
| 1720529365 | John Prior | Specialist/Technologist | 39658 Mission Blvd, Fremont, CA 94539-3000 | 2017-03-15 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.