{
"Npi": {
"NPI": "1619149754",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "CITY OF SAN DIEGO",
"ParentOrgTIN": null,
"OrgName": "CITY OF SAN DIEGO FIRE-RESCUE DEPARTMENT",
"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": "1010 2ND AVE STE 400",
"SecondLineMailingAddress": "ATTN: AIR OPERATIONS CHIEF",
"MailingAddressCityName": "SAN DIEGO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92101-4970",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "619-533-4353",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1010 2ND AVE STE 400",
"SecondLinePracticeLocationAddress": "ATTN: AIR OPERATIONS CHIEF",
"PracticeLocationAddressCityName": "SAN DIEGO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92101-4970",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "619-533-4353",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/28/2008",
"LastUpdateDate": "03/28/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FENNESSY",
"AuthorizedOfficialFirstName": "BRIAN",
"AuthorizedOfficialMiddleName": "P.",
"AuthorizedOfficialTitle": "DEPUTY FIRE CHIEF, SPECIAL OPS",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "619-533-4407",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416A0800X",
"TaxonomyName": "Air Ambulance",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}