{"npi":"1154861979","type":"NPI-2","status":"active","name":{"display":"Elizabeth Supportive Medical Specialists, A Medical Corporation","other":[],"organization_name":"ELIZABETH SUPPORTIVE MEDICAL SPECIALISTS, A MEDICAL CORPORATION","authorised_official":"Charles Von Gunten"},"specialty":{"primary_taxonomy":"207RH0002X","primary_taxonomy_description":"Hospice and Palliative Medicine (Internal Medicine) Physician","slug":"hospice-and-palliative-medicine-internal-medicine-physician","schema_org_specialty":null,"all":[{"code":"207RH0002X","description":"Hospice and Palliative Medicine (Internal Medicine) Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"800 W VALLEY PKWY STE 203","city":"ESCONDIDO","state":"CA","postal_code":"920252557","country_code":"US","phone":"7607963763","fax":"7607963788"},{"purpose":"MAILING","street_1":"800 W VALLEY PKWY STE 100","city":"ESCONDIDO","state":"CA","postal_code":"920252557","country_code":"US","phone":"7607372050","fax":"7607963781"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20170426002596","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"3971880055"}]},"enumeration_date":"2017-02-27","last_updated":"2025-06-03","_meta":{"source":"NPPES","snapshot_date":"2025-06-03","doc_url":"https://findmynpi.com/api"}}