{
"Npi": {
"NPI": "1881707222",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CAO",
"FirstName": "DIANA",
"MiddleName": "T",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PHARMD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "CAO",
"OtherFirstName": "TRANGDAI",
"OtherMiddleName": "T.",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "DOCTOR OF PHARMACY",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "11201 BENTON ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LOMA LINDA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92357-1000",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "909-825-7084",
"MailingAddressFaxNumber": "909-777-3208",
"FirstLinePracticeLocationAddress": "11201 BENTON ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LOMA LINDA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92357-1000",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "909-825-7084",
"PracticeLocationAddressFaxNumber": "909-777-3208",
"EnumerationDate": "08/17/2006",
"LastUpdateDate": "07/19/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1835P0018X",
"TaxonomyName": "Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"LicenseNumber": "52118",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}