{
"Npi": {
"NPI": "1326137589",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BARBOUR",
"FirstName": "CLAYTON",
"MiddleName": "O",
"NamePrefix": null,
"NameSuffix": "II",
"Credential": "M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "12520 PALM DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DESERT HOT SPRINGS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92240-4559",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "760-676-5800",
"MailingAddressFaxNumber": "858-634-6960",
"FirstLinePracticeLocationAddress": "68555 RAMON RD",
"SecondLinePracticeLocationAddress": "SUITE D103 & D104",
"PracticeLocationAddressCityName": "CATHEDRAL CITY",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92234-9223",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "760-507-3310",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/12/2006",
"LastUpdateDate": "04/14/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207R00000X",
"TaxonomyName": "Internal Medicine Physician",
"LicenseNumber": "G73985",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}