{
"Npi": {
"NPI": "1730506452",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "INADVANCE MEDICINE ASSOCIATES WEST, P.C.",
"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": "4343 EAST OUTLIER BLV.",
"SecondLineMailingAddress": "SUITE 100W",
"MailingAddressCityName": "PHOENIX",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85008-6507",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "877-358-8648",
"MailingAddressFaxNumber": "877-877-6875",
"FirstLinePracticeLocationAddress": "2525 CAMINO DEL RIO SOUTH",
"SecondLinePracticeLocationAddress": "SUITE 325",
"PracticeLocationAddressCityName": "SAN DIEGO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92108",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "877-358-8646",
"PracticeLocationAddressFaxNumber": "877-877-6875",
"EnumerationDate": "03/19/2014",
"LastUpdateDate": "12/22/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SLACK",
"AuthorizedOfficialFirstName": "JUANA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "MEDICAL BILLING SPECIALIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "480-646-9086",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}