{
"Npi": {
"NPI": "1013390111",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "KAISER PERMANENTE",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "741 ROBINSON RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TOPANGA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90290-3624",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "310-455-8731",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5601 DE SOTO AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WOODLAND HILLS",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91367-6701",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "310-719-2937",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/07/2015",
"LastUpdateDate": "07/07/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KELLER",
"AuthorizedOfficialFirstName": "KRIS",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DIRECTOR OF REHAB SERVICES",
"AuthorizedOfficialNamePrefix": "MISS",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "818-719-2148",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "302R00000X",
"TaxonomyName": "Health Maintenance Organization",
"LicenseNumber": "12736",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}