{
  "npi": "1255709838",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "md",
    "authorized_official_first_name": "ALEX",
    "authorized_official_last_name": "FRIDMAN",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "Jr.",
    "authorized_official_telephone_number": "2138644615",
    "authorized_official_title_or_position": "president",
    "enumeration_date": "2015-09-13",
    "last_updated": "2015-09-13",
    "organization_name": "ALEX FRIDMAN MD PROFESSIONAL CORPORATION",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "5334 LINDLEY AVE UNIT 222",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "ENCINO",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "818-357-2171",
      "postal_code": "913162905",
      "state": "CA",
      "telephone_number": "213-864-4615"
    },
    {
      "address_1": "948 N FAIRFAX AVE STE 201",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "WEST HOLLYWOOD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "323-654-2828",
      "postal_code": "900467204",
      "state": "CA",
      "telephone_number": "323-654-2020"
    }
  ],
  "taxonomies": [
    {
      "code": "281P00000X",
      "desc": "Chronic Disease Hospital",
      "license": "a103675",
      "primary": false,
      "state": "CA",
      "taxonomy_group": ""
    },
    {
      "code": "261QP2300X",
      "desc": "Clinic/Center, Primary Care",
      "license": "a103675",
      "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 Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": []
  }
}