{
"Npi": {
"NPI": "1568864239",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ABSOLUTE BEST MEDICAL PRACTICE 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": "1734 N RIVERSIDE AVE",
"SecondLineMailingAddress": "STE #2",
"MailingAddressCityName": "RIALTO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92376-8058",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "909-875-3595",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1734 N RIVERSIDE AVE",
"SecondLinePracticeLocationAddress": "STE #2",
"PracticeLocationAddressCityName": "RIALTO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92376-8058",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "909-875-3595",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/24/2014",
"LastUpdateDate": "09/24/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHAHANE",
"AuthorizedOfficialFirstName": "RAVINDRANATH",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "909-875-3595",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": "A87056",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}