{
"Npi": {
"NPI": "1265806483",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NW CLINIC",
"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": "257 CASTRO ST STE 223",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MOUNTAIN VIEW",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94041-1287",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "650-968-8665",
"MailingAddressFaxNumber": "650-968-6286",
"FirstLinePracticeLocationAddress": "2060 WALSH AVE STE 101",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SANTA CLARA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "95050-2568",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "650-968-8665",
"PracticeLocationAddressFaxNumber": "650-968-6286",
"EnumerationDate": "11/26/2015",
"LastUpdateDate": "11/26/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JIAO",
"AuthorizedOfficialFirstName": "TINA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "650-968-8665",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "171100000X",
"TaxonomyName": "Acupuncturist",
"LicenseNumber": "AC16540",
"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."
}
}
}
}