{
  "npi": "1124341060",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "M.D.",
    "enumeration_date": "2010-03-07",
    "first_name": "MICHAEL",
    "last_name": "CHIAROTTINO",
    "last_updated": "2010-03-07",
    "middle_name": "R.",
    "name_prefix": "Dr.",
    "name_suffix": "--",
    "sex": "M",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1750 BRIDGEWAY",
      "address_2": "SUITE B105",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SAUSALITO",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "415-331-2114",
      "postal_code": "949651993",
      "state": "CA",
      "telephone_number": "415-331-2113"
    },
    {
      "address_1": "1750 BRIDGEWAY",
      "address_2": "SUITE B105",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "SAUSALITO",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "415-331-2114",
      "postal_code": "949651993",
      "state": "CA",
      "telephone_number": "415-331-2113"
    }
  ],
  "taxonomies": [
    {
      "code": "207QA0401X",
      "desc": "Family Medicine, Addiction Medicine",
      "license": "#G39528",
      "primary": true,
      "state": "CA",
      "taxonomy_group": ""
    },
    {
      "code": "208VP0000X",
      "desc": null,
      "license": "G39528",
      "primary": false,
      "state": "CA",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": true,
      "status": "EXCLUDED",
      "matches": [
        {
          "name": "MICHAEL ROGER CHIAROTTINO",
          "npi": "1124341060",
          "specialty": "FAMILY PRACTICE",
          "city": "MILL VALLEY",
          "state": "CA",
          "excl_type": "1128b4",
          "excl_date": "2015-10-20",
          "statute_desc": "Sec. 1128(b)(4) — License Revocation, Suspension, or Surrender"
        },
        {
          "name": "MICHAEL ROGER CHIAROTTINO",
          "npi": "1124341060",
          "specialty": "FAMILY PRACTICE",
          "city": "SHERIDAN",
          "state": "OR",
          "excl_type": "1128a4",
          "excl_date": "2018-01-18",
          "statute_desc": "Sec. 1128(a)(4) — Felony Controlled Substance Conviction"
        }
      ],
      "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": "Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)",
    "certifying_board": "American Board of Family Medicine (ABFM)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "08",
        "medicare_type": "Physician/Family Practice"
      },
      {
        "medicare_code": "79",
        "medicare_type": "Physician/Addiction Medicine"
      }
    ]
  }
}