{
"Npi": {
"NPI": "1376994533",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SHAFTER URGENT CARE",
"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": "501 MUNZER ST STE A",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SHAFTER",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93263-2042",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "661-429-2739",
"MailingAddressFaxNumber": "661-459-3535",
"FirstLinePracticeLocationAddress": "501 MUNZER ST STE A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SHAFTER",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "93263",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "661-429-2739",
"PracticeLocationAddressFaxNumber": "661-459-3535",
"EnumerationDate": "06/28/2016",
"LastUpdateDate": "10/31/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SUNNER",
"AuthorizedOfficialFirstName": "NOVIRA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "661-599-5310",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QU0200X",
"TaxonomyName": "Urgent Care Clinic/Center",
"LicenseNumber": "A68509",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}