{
"Npi": {
"NPI": "1447280722",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "PACIFIC FAMILY HEALTH",
"ParentOrgTIN": null,
"OrgName": "PACIFIC FAMILY HEALTH, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3475 W SHAW AVE STE 102",
"SecondLineMailingAddress": "3475 W SHAW AVE STE 102",
"MailingAddressCityName": "FRESNO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93711-3200",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "559-252-1932",
"MailingAddressFaxNumber": "559-456-3070",
"FirstLinePracticeLocationAddress": "3475 W SHAW AVE STE 102",
"SecondLinePracticeLocationAddress": "3475 W SHAW AVE STE 102",
"PracticeLocationAddressCityName": "FRESNO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "93711-3200",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "559-252-1932",
"PracticeLocationAddressFaxNumber": "559-456-3070",
"EnumerationDate": "07/03/2006",
"LastUpdateDate": "07/21/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GARCIA",
"AuthorizedOfficialFirstName": "PEDRO",
"AuthorizedOfficialMiddleName": "VASQUEZ",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "NONE",
"AuthorizedOfficialTelephoneNumber": "559-252-1932",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "343900000X",
"TaxonomyName": "Non-emergency Medical Transport (VAN)",
"LicenseNumber": null,
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}