{
"Npi": {
"NPI": "1134204985",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MONESS MEDICAL OFFICE, P.C.",
"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": "1611 CREEKSIDE DR",
"SecondLineMailingAddress": "SUITE 102",
"MailingAddressCityName": "FOLSOM",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95630-3490",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "916-984-9004",
"MailingAddressFaxNumber": "916-984-9094",
"FirstLinePracticeLocationAddress": "3860 EL DORADO HILLS BLVD STE 601A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "EL DORADO HILLS",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "95762-4563",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "916-984-9004",
"PracticeLocationAddressFaxNumber": "916-984-9094",
"EnumerationDate": "10/27/2006",
"LastUpdateDate": "08/20/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MONESS",
"AuthorizedOfficialFirstName": "PARWEEN",
"AuthorizedOfficialMiddleName": "LOYNAB",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "916-984-9004",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207R00000X",
"TaxonomyName": "Internal Medicine Physician",
"LicenseNumber": "A77501",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}