{
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"NamePrefix": null,
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"FirstLineMailingAddress": "1938 VIA CTR STE B",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "VISTA",
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"MailingAddressPostalCode": "92081-6056",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "760-758-4325",
"MailingAddressFaxNumber": "760-639-4325",
"FirstLinePracticeLocationAddress": "1938 VIA CTR STE B",
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"PracticeLocationAddressCityName": "VISTA",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "760-758-4325",
"PracticeLocationAddressFaxNumber": "760-639-4325",
"EnumerationDate": "01/08/2007",
"LastUpdateDate": "05/12/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TOSCZAK",
"AuthorizedOfficialFirstName": "MELISSA",
"AuthorizedOfficialMiddleName": "LYNN",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DC",
"AuthorizedOfficialTelephoneNumber": "760-758-4325",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
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"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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{
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
},
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
}
]
}
}
}