{
"Npi": {
"NPI": "1508138439",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "KAISER PERMANENTE",
"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": "27400 HESPERIAN BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HAYWARD",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94545-4235",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "510-784-4824",
"MailingAddressFaxNumber": "510-784-4686",
"FirstLinePracticeLocationAddress": "27400 HESPERIAN BLVD.",
"SecondLinePracticeLocationAddress": "KAISER PERMANENTE HOSPITAL",
"PracticeLocationAddressCityName": "HAYWARD",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "94545-4235",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "510-784-4824",
"PracticeLocationAddressFaxNumber": "510-784-4686",
"EnumerationDate": "02/08/2012",
"LastUpdateDate": "02/08/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RIDGE",
"AuthorizedOfficialFirstName": "MELISSA",
"AuthorizedOfficialMiddleName": "ARLETTE",
"AuthorizedOfficialTitle": "SOCIAL WORKER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LCSW",
"AuthorizedOfficialTelephoneNumber": "510-967-9097",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "282N00000X",
"TaxonomyName": "General Acute Care Hospital",
"LicenseNumber": "18006",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}