{
"Npi": {
"NPI": "1174872915",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PW SINGH CORPORATION",
"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": "6608 MERCY COURT",
"SecondLineMailingAddress": "SUITE C",
"MailingAddressCityName": "FAIR OAKS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95628-3171",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "916-966-8500",
"MailingAddressFaxNumber": "916-966-8555",
"FirstLinePracticeLocationAddress": "6608 MERCY COURT",
"SecondLinePracticeLocationAddress": "SUITE C",
"PracticeLocationAddressCityName": "FAIR OAKS",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "95628-3171",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "916-966-8500",
"PracticeLocationAddressFaxNumber": "916-966-8555",
"EnumerationDate": "09/07/2012",
"LastUpdateDate": "09/07/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SINGH",
"AuthorizedOfficialFirstName": "PARUL",
"AuthorizedOfficialMiddleName": "WALIA",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "626-513-5308",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "A121520",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}