{
  "npi": "1891960076",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "M.D.",
    "enumeration_date": "2008-04-28",
    "first_name": "IVAN",
    "last_name": "ANDERSON",
    "last_updated": "2019-05-31",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "10470 OLD PLACERVILLE RD STE 100",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SACRAMENTO",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "958272539",
      "state": "CA",
      "telephone_number": "800-470-0071"
    },
    {
      "address_1": "3288 BELL RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "AUBURN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "530-745-0701",
      "postal_code": "95603",
      "state": "CA",
      "telephone_number": "530-745-0700"
    }
  ],
  "taxonomies": [
    {
      "code": "207RC0000X",
      "desc": "Internal Medicine, Cardiovascular Disease",
      "license": "15988",
      "primary": false,
      "state": "NV",
      "taxonomy_group": ""
    },
    {
      "code": "207RC0000X",
      "desc": "Internal Medicine, Cardiovascular Disease",
      "license": "A110448",
      "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": "Board-Certified Cardiologist (Heart & Blood Vessel Specialist)",
    "certifying_board": "American Board of Internal Medicine — Cardiovascular Disease",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "06",
        "medicare_type": "Physician/Cardiovascular Disease (Cardiology)"
      },
      {
        "medicare_code": "11",
        "medicare_type": "Physician/Internal Medicine"
      }
    ]
  }
}