{
  "npi": "1982618849",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "M.D.",
    "authorized_official_first_name": "ALBERT",
    "authorized_official_last_name": "DE LA PENA",
    "authorized_official_telephone_number": "8189881111",
    "authorized_official_title_or_position": "President/ Medical Director",
    "enumeration_date": "2006-07-28",
    "last_updated": "2013-02-25",
    "organization_name": "A. DE LA PENA M D A MEDICAL GROUP INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2446 W WHITTIER BLVD",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MONTEBELLO",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "323-728-4408",
      "postal_code": "906403041",
      "state": "CA",
      "telephone_number": "323-728-5500"
    },
    {
      "address_1": "7100 VAN NUYS BLVD",
      "address_2": "SUITE 120",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "VAN NUYS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "818-988-1734",
      "postal_code": "914053063",
      "state": "CA",
      "telephone_number": "818-988-1111"
    }
  ],
  "taxonomies": [
    {
      "code": "152W00000X",
      "desc": "Optometrist",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207W00000X",
      "desc": "Ophthalmology",
      "license": null,
      "primary": true,
      "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 in Ophthalmology (Medical & Microsurgical Eye Doctor)",
    "certifying_board": "American Board of Ophthalmology (ABO)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "18",
        "medicare_type": "Physician/Ophthalmology"
      }
    ]
  }
}