{
  "npi": "1841492543",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD",
    "authorized_official_first_name": "TERRY",
    "authorized_official_last_name": "SIMPSON",
    "authorized_official_middle_name": "LIDVIN",
    "authorized_official_telephone_number": "8056201000",
    "authorized_official_title_or_position": "President/CEO",
    "certification_date": "2022-06-09",
    "enumeration_date": "2007-06-04",
    "last_updated": "2022-06-09",
    "organization_name": "AFFILIATED SURGICAL ASSOCIATES, PC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "760 LAS POSAS RD STE C",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CAMARILLO",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "805-209-2741",
      "postal_code": "930102910",
      "state": "CA",
      "telephone_number": "805-620-1000"
    },
    {
      "address_1": "2674 E MAIN ST STE E-928",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "VENTURA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "805-209-2741",
      "postal_code": "930032820",
      "state": "CA",
      "telephone_number": "805-620-1000"
    }
  ],
  "taxonomies": [
    {
      "code": "208600000X",
      "desc": "Surgery",
      "license": "21784",
      "primary": false,
      "state": "AZ",
      "taxonomy_group": "193400000X - Multiple Single Specialty Group"
    },
    {
      "code": "208600000X",
      "desc": "Surgery",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193400000X - Multiple Single 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 Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)",
    "certifying_board": "American Board of Orthopaedic Surgery (ABOS)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "02",
        "medicare_type": "Physician/General Surgery"
      }
    ]
  }
}