Healthcare Provider Details

I. General information

NPI: 1316457096
Provider Name (Legal Business Name): EMELIA PEARLMAN PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EMELIA KAY PA

II. Dates (important events)

Enumeration Date: 10/06/2017
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20860 N TATUM BLVD STE 290
PHOENIX AZ
85050-4282
US

IV. Provider business mailing address

1839 S ALMA SCHOOL RD STE 354
MESA AZ
85210-3028
US

V. Phone/Fax

Practice location:
  • Phone: 480-563-1144
  • Fax: 480-563-2371
Mailing address:
  • Phone: 480-726-2287
  • Fax: 888-503-3312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number7209350001
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number7629170001
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number7046960001
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number70349500001
License Number StateAZ
# 5
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number704516001
License Number StateAZ
# 6
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number7939960001
License Number StateAZ
# 7
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number7047150001
License Number StateAZ
# 8
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number8220410001
License Number StateAZ
# 9
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number7057360001
License Number StateAZ
# 10
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number7205
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: