Physician Compare National (NPI:1851619480)

HEALTHCARE PROVIDER: MAURA PEARLSTEIN

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1851619480
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7416269006
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170321002228
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PEARLSTEIN
	Individual professional last name
Provider First Name	MAURA
	Individual professional first name
Provider Middle Name	HEATHER
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ACUTE CARE SURGERY MEDICAL GROUP INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	7214006816
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	91
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	520 W I ST
	Group Practice or individual's line 1 address
City	LOS BANOS
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	936353419
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2098260591
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050516
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY SAN JUAN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050150
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SIERRA NEVADA MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y