{
  "npi": "1083123129",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "AuD",
    "enumeration_date": "2017-09-20",
    "first_name": "KASRA",
    "last_name": "ABOLHOSSEINI",
    "last_updated": "2017-09-20",
    "name_prefix": "Dr.",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "30642 MIRANDELA LN",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "LAGUNA NIGUEL",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "926772347",
      "state": "CA",
      "telephone_number": "949-579-0957"
    },
    {
      "address_1": "12791 NEWPORT AVE STE 101",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "TUSTIN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "714-730-5372",
      "postal_code": "927802785",
      "state": "CA",
      "telephone_number": "714-731-6549"
    }
  ],
  "taxonomies": [
    {
      "code": "231H00000X",
      "desc": "Audiologist",
      "license": "AU3255",
      "primary": true,
      "state": "CA",
      "taxonomy_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 Speech, Language and Hearing Service Providers — Audiologist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "64",
        "medicare_type": "Audiologist"
      }
    ]
  }
}