{
"Npi": {
"NPI": "1699015057",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "WELL CARE CENTRAL",
"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": "PO BOX 7079",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FOLSOM",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95763-7079",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "916-817-8400",
"MailingAddressFaxNumber": "866-801-6429",
"FirstLinePracticeLocationAddress": "1360 E NATOMA ST STE 140",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FOLSOM",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "95630-5714",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "916-817-8400",
"PracticeLocationAddressFaxNumber": "916-817-8488",
"EnumerationDate": "02/22/2013",
"LastUpdateDate": "07/25/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LYNTON",
"AuthorizedOfficialFirstName": "RICHARD",
"AuthorizedOfficialMiddleName": "CLIVE",
"AuthorizedOfficialTitle": "OWNER/PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "916-400-3000",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QU0200X",
"TaxonomyName": "Urgent Care Clinic/Center",
"LicenseNumber": "A70542",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}