{
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"OrgName": "AVENIDAS",
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"FirstLineMailingAddress": "450 BRYANT ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PALO ALTO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94301-1701",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "650-289-5400",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "270 ESCUELA AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MOUNTAIN VIEW",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "650-289-5499",
"PracticeLocationAddressFaxNumber": "650-691-1119",
"EnumerationDate": "05/17/2007",
"LastUpdateDate": "10/10/2025",
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"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHEARER",
"AuthorizedOfficialFirstName": "CINDY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "EXECUTIVE ASSISTANT",
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"AuthorizedOfficialTelephoneNumber": "650-289-5400",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "171M00000X",
"TaxonomyName": "Case Manager/Care Coordinator",
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"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "261QA0600X",
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}