{
  "npi": "1043393218",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD",
    "authorized_official_first_name": "ALFONSO",
    "authorized_official_last_name": "MIGUEL",
    "authorized_official_middle_name": "P",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "Jr.",
    "authorized_official_telephone_number": "6269143835",
    "authorized_official_title_or_position": "President & Owner",
    "enumeration_date": "2006-10-23",
    "last_updated": "2007-11-29",
    "organization_name": "ALFONSO P MIGUEL JR MD INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "102 W ROUTE 66",
      "address_2": "SUITE A",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "GLENDORA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "626-963-4613",
      "postal_code": "917406247",
      "state": "CA",
      "telephone_number": "626-914-3835"
    },
    {
      "address_1": "102 W ROUTE 66",
      "address_2": "SUITE A",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "GLENDORA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "626-963-4613",
      "postal_code": "917406247",
      "state": "CA",
      "telephone_number": "626-914-3835"
    }
  ],
  "taxonomies": [
    {
      "code": "2086S0129X",
      "desc": null,
      "license": "A23044",
      "primary": true,
      "state": "CA",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "02",
        "medicare_type": "Physician/General Surgery"
      },
      {
        "medicare_code": "76",
        "medicare_type": "Physician/Peripheral Vascular Disease"
      },
      {
        "medicare_code": "77",
        "medicare_type": "Physician/Vascular Surgery"
      }
    ]
  }
}