Provider Demographics
NPI:1154430460
Name:PEARLMAN, JOEL ABRAHM (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:ABRAHM
Last Name:PEARLMAN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3939 J ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-3631
Mailing Address - Country:US
Mailing Address - Phone:916-454-6191
Mailing Address - Fax:916-454-1036
Practice Address - Street 1:3939 J ST
Practice Address - Street 2:SUITE 106
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-3631
Practice Address - Country:US
Practice Address - Phone:916-454-6191
Practice Address - Fax:916-454-1036
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA78783207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A787831OtherBLUE SHIELD
WA0199876OtherDEPT. OF LABOR WA
CAP00072018OtherRAILROAD MEDICARE
CA00A787830Medicaid
WA0199876OtherDEPT. OF LABOR WA
CA00A787832Medicare PIN
CA00A787831Medicare PIN
CAP00072018OtherRAILROAD MEDICARE
CA00A787836Medicare PIN
CA00A787834Medicare PIN
H05893Medicare UPIN