{
"Npi": {
"NPI": "1598160707",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CADE",
"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": "120- A ROCKWOOD AVENUE",
"SecondLineMailingAddress": "PMB 43373",
"MailingAddressCityName": "CALEXICO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92231",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "760-701-2440",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "120A ROCKWOOD AVE",
"SecondLinePracticeLocationAddress": "PMB 43373",
"PracticeLocationAddressCityName": "CALEXICO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92231-4700",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "760-701-2440",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/30/2014",
"LastUpdateDate": "10/30/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CARDENAS",
"AuthorizedOfficialFirstName": "VERONICA",
"AuthorizedOfficialMiddleName": "JANNETH",
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "239-234-4377",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "302R00000X",
"TaxonomyName": "Health Maintenance Organization",
"LicenseNumber": "3213567",
"LicenseNumberStateCode": "ZZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}