{"npi":"1285611699","type":"NPI-1","status":"active","name":{"display":"Dr. Gabriel Niles M.D.","other":[],"first":"GABRIEL","last":"NILES","middle":"STEPHAN","credential":"M.D."},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"WA","license":"MD6030955"},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"CA","license":"A100831"}]},"addresses":[{"purpose":"LOCATION","street_1":"12555 W JEFFERSON BLVD STE 301","city":"LOS ANGELES","state":"CA","postal_code":"900667032","country_code":"US","phone":"4244435555","fax":"4244435550"},{"purpose":"MAILING","street_1":"12555 W JEFFERSON BLVD # 301","city":"LOS ANGELES","state":"CA","postal_code":"900667032","country_code":"US","phone":"4244435555","fax":"4244435550"}],"license":{"state":"CA","number":"A100831"},"identifiers":[{"type_code":"01","label":"Other","value":"2045010","state":"WA","issuer":"WA MEDICAID PROVIDER ID"},{"type_code":"01","label":"Other","value":"G8940666","state":"WA","issuer":"MEDICARE PTAN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110811000471","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"CA","pac_id":"2264601012"}]},"enumeration_date":"2005-12-28","last_updated":"2022-11-28","_meta":{"source":"NPPES","snapshot_date":"2022-11-28","doc_url":"https://findmynpi.com/api"}}