{
  "npi": "1164041422",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD",
    "authorized_official_first_name": "HASHIM",
    "authorized_official_last_name": "MAPARA",
    "authorized_official_middle_name": "A",
    "authorized_official_telephone_number": "7189096580",
    "authorized_official_title_or_position": "PRESIDENT",
    "certification_date": "2025-02-06",
    "enumeration_date": "2020-04-15",
    "last_updated": "2025-02-06",
    "organization_name": "ADVANCED CARE MULTISPECIALTY MEDICAL GROUP APC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "325 ROLLING OAKS DR STE 130",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "THOUSAND OAKS",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "913611286",
      "state": "CA",
      "telephone_number": "805-497-7775"
    },
    {
      "address_1": "4000 CALLE TECATE STE 115",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CAMARILLO",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "805-233-3025",
      "postal_code": "930125285",
      "state": "CA",
      "telephone_number": "805-485-2400"
    }
  ],
  "taxonomies": [
    {
      "code": "207RN0300X",
      "desc": "Internal Medicine, Nephrology",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "208M00000X",
      "desc": "Hospitalist",
      "license": null,
      "primary": false,
      "state": null,
      "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": "Board-Certified Nephrologist (Kidney Function, Stones & Dialysis Specialist)",
    "certifying_board": "American Board of Internal Medicine — Nephrology",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "11",
        "medicare_type": "Physician/Internal Medicine"
      },
      {
        "medicare_code": "39",
        "medicare_type": "Physician/Nephrology"
      }
    ]
  }
}