{"npi":"1063656320","type":"NPI-2","status":"active","name":{"display":"Shield California Health Care Center, Inc.","other":[],"organization_name":"SHIELD CALIFORNIA HEALTH CARE CENTER, INC.","authorised_official":"Mike Suor"},"specialty":{"primary_taxonomy":"332BP3500X","primary_taxonomy_description":"Parenteral & Enteral Nutrition Supplies (DME)","slug":"parenteral-enteral-nutrition-supplies-dme","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":"WA","license":"09-1717"},{"code":"332BP3500X","description":"Parenteral & Enteral Nutrition Supplies (DME)","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"615 STRANDER BLVD","city":"TUKWILA","state":"WA","postal_code":"981882922","country_code":"US","phone":"2065757837","fax":"2065756765"},{"purpose":"MAILING","street_1":"27911 FRANKLIN PKWY","city":"VALENCIA","state":"CA","postal_code":"913554110","country_code":"US","phone":"6612944200"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"9049404","state":"WA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20101109000919","type_code":"30-54","type_desc":"DME SUPPLIER - MEDICAL SUPPLY COMPANY","state":"WA","pac_id":"7214055821"}]},"enumeration_date":"2009-04-29","last_updated":"2025-01-14","_meta":{"source":"NPPES","snapshot_date":"2025-01-14","doc_url":"https://findmynpi.com/api"}}