{
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"FirstLineMailingAddress": "601 W 2ND ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ANTIOCH",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94509-1286",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "925-757-4099",
"MailingAddressFaxNumber": "925-757-4788",
"FirstLinePracticeLocationAddress": "601 W 2ND ST",
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"PracticeLocationAddressFaxNumber": "925-757-4788",
"EnumerationDate": "10/11/2006",
"LastUpdateDate": "08/23/2016",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AHMED",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "408-836-1134",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}