{
"Npi": {
"NPI": "1710911409",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DR. SUZANNE J WHITE",
"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": "285 MERCEY SPRINGS RD",
"SecondLineMailingAddress": "STE D",
"MailingAddressCityName": "LOS BANOS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93635-3878",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "209-827-1440",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "285 MERCEY SPRINGS RD",
"SecondLinePracticeLocationAddress": "STE D",
"PracticeLocationAddressCityName": "LOS BANOS",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "93635-3878",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "209-827-1440",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/10/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WHITE",
"AuthorizedOfficialFirstName": "SUZANNE",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "PHYSICIAN",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "209-827-1440",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QH0100X",
"TaxonomyName": "Health Service Clinic/Center",
"LicenseNumber": "A64192",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}