{
"Npi": {
"NPI": "1083797880",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "PARINAS GENERAL CORPORATION",
"ParentOrgTIN": null,
"OrgName": "CASTRO VALLEY HEALTH, INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "20980 REDWOOD RD",
"SecondLineMailingAddress": "SUITE 205",
"MailingAddressCityName": "CASTRO VALLEY",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94546-5930",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "510-690-1930",
"MailingAddressFaxNumber": "510-690-0930",
"FirstLinePracticeLocationAddress": "20980 REDWOOD RD",
"SecondLinePracticeLocationAddress": "SUITE 205",
"PracticeLocationAddressCityName": "CASTRO VALLEY",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "94546-5930",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "510-690-1930",
"PracticeLocationAddressFaxNumber": "510-690-0930",
"EnumerationDate": "10/23/2006",
"LastUpdateDate": "04/14/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PARINAS",
"AuthorizedOfficialFirstName": "MARK",
"AuthorizedOfficialMiddleName": "RECIO",
"AuthorizedOfficialTitle": "CHAIRMAN AND CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN BSN PHN",
"AuthorizedOfficialTelephoneNumber": "510-690-1930",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "550000134",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}