{"npi":"1083846349","type":"NPI-2","status":"active","name":{"display":"San Jose Clinic, P.A.","other":[],"organization_name":"SAN JOSE CLINIC, P.A.","authorised_official":"Antoine Kassis"},"specialty":{"primary_taxonomy":"174400000X","primary_taxonomy_description":"Specialist","slug":"specialist","schema_org_specialty":null,"all":[{"code":"174400000X","description":"Specialist","primary":true,"state":"FL","license":"ME75962"}]},"addresses":[{"purpose":"LOCATION","street_1":"2449 UNIVERSITY BLVD W","city":"JACKSONVILLE","state":"FL","postal_code":"322172037","country_code":"US","phone":"9042563330","fax":"9042563332"},{"purpose":"MAILING","street_1":"504 BASSWOOD CT","city":"JACKSONVILLE","state":"FL","postal_code":"322594436","country_code":"US","phone":"9042563330","fax":"9042563332"}],"license":{"state":"FL","number":"ME75962"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"124628400","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100212000030","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"3577606664"}]},"enumeration_date":"2009-08-19","last_updated":"2025-02-06","_meta":{"source":"NPPES","snapshot_date":"2025-02-06","doc_url":"https://findmynpi.com/api"}}