{
"Npi": {
"NPI": "1225239049",
"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": "1363 CUSTOZA AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ROWLAND HEIGHTS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91748-2211",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "626-674-2015",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1900 E LAMBERT RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BREA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92821-4371",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "888-988-2800",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/30/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RUPANI",
"AuthorizedOfficialFirstName": "RAVIN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PHYSICIAN",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "626-674-2015",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "302R00000X",
"TaxonomyName": "Health Maintenance Organization",
"LicenseNumber": "A92837",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}