{
"Npi": {
"NPI": "1174163125",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PATEL",
"FirstName": "AJITA",
"MiddleName": null,
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "DOCTOR OF AYURVEDA",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "26524 AVENIDA VERONICA",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MISSION VIEJO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92691-3331",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "949-207-8725",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "505 W 1ST ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TUSTIN",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92780-3004",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "949-207-8725",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/07/2020",
"LastUpdateDate": "01/07/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "174H00000X",
"TaxonomyName": "Health Educator",
"LicenseNumber": "18367674",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "246Z00000X",
"TaxonomyName": "Other Specialist/Technologist",
"LicenseNumber": "18367674",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}