{
"Npi": {
"NPI": "1508994823",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SACRAMENTO VALLEY AMBULANCE INC.",
"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": "6220 BELLEAU WOOD LN",
"SecondLineMailingAddress": "SUITE 4",
"MailingAddressCityName": "SACRAMENTO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95822-5922",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "916-422-3881",
"MailingAddressFaxNumber": "916-422-3866",
"FirstLinePracticeLocationAddress": "6220 BELLEAU WOOD LN",
"SecondLinePracticeLocationAddress": "SUITE 4",
"PracticeLocationAddressCityName": "SACRAMENTO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "95822-5922",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "916-422-3881",
"PracticeLocationAddressFaxNumber": "916-422-3866",
"EnumerationDate": "02/28/2007",
"LastUpdateDate": "07/30/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LAKICH",
"AuthorizedOfficialFirstName": "PAUL",
"AuthorizedOfficialMiddleName": "JAMES",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PARAMEDIC",
"AuthorizedOfficialTelephoneNumber": "916-422-3881",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "2932337",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}