{"npi":"1154420024","type":"NPI-1","status":"active","name":{"display":"Dr. Mario San Bartolome MD","other":[],"first":"MARIO","last":"SAN BARTOLOME","middle":"FERNANDO","credential":"MD"},"specialty":{"primary_taxonomy":"2083A0300X","primary_taxonomy_description":"Addiction Medicine (Preventive Medicine) Physician","slug":"addiction-medicine-preventive-medicine-physician","schema_org_specialty":null,"all":[{"code":"207QA0000X","description":"Adolescent Medicine (Family Medicine) Physician","primary":false,"state":"CA","license":"A89818"},{"code":"207QA0505X","description":"Adult Medicine Physician","primary":false,"state":"CA","license":"A89818"},{"code":"174400000X","description":"Specialist","primary":false,"state":"CA","license":"A89818"},{"code":"2083A0300X","description":"Addiction Medicine (Preventive Medicine) Physician","primary":true,"state":"CA","license":"A89818"}]},"addresses":[{"purpose":"LOCATION","street_1":"5405 GARDEN GROVE BLVD STE 102","city":"WESTMINSTER","state":"CA","postal_code":"926831887","country_code":"US","phone":"7145983707","fax":"7144220260"},{"purpose":"MAILING","street_1":"5405 GARDEN GROVE BLVD STE 102","city":"WESTMINSTER","state":"CA","postal_code":"926831887","country_code":"US","phone":"7145983707","fax":"7144220260"}],"license":{"state":"CA","number":"A89818"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20090128000104","type_code":"14-79","type_desc":"PRACTITIONER - ADDICTION MEDICINE","state":"CA","pac_id":"9032273503"}]},"enumeration_date":"2006-09-21","last_updated":"2019-08-08","_meta":{"source":"NPPES","snapshot_date":"2019-08-08","doc_url":"https://findmynpi.com/api"}}