{"npi":"1013907468","type":"NPI-2","status":"active","name":{"display":"Millbrae Medical Supply, INC","other":[],"organization_name":"MILLBRAE MEDICAL SUPPLY, INC","authorised_official":"Oliver Friedauer"},"specialty":{"primary_taxonomy":"332B00000X","primary_taxonomy_description":"Durable Medical Equipment & Medical Supplies","slug":"durable-medical-equipment-medical-supplies","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":true,"state":"CA","license":"DME00543F"}]},"addresses":[{"purpose":"LOCATION","street_1":"425 OLD COUNTY RD STE C","city":"BELMONT","state":"CA","postal_code":"940022500","country_code":"US","phone":"6505932188","fax":"6505932044"},{"purpose":"MAILING","street_1":"425 OLD COUNTY RD STE C","city":"BELMONT","state":"CA","postal_code":"940022500","country_code":"US","phone":"6505932188","fax":"6505932044"}],"license":{"state":"CA","number":"DME00543F"},"identifiers":[{"type_code":"01","label":"Other","value":"DME00543F","state":"CA","issuer":"MEDI-CAL PROVIDER"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-10-26","last_updated":"2013-11-19","_meta":{"source":"NPPES","snapshot_date":"2013-11-19","doc_url":"https://findmynpi.com/api"}}