{"npi":"1285751024","type":"NPI-2","status":"active","name":{"display":"San Jose Community Clinic","other":[],"organization_name":"SAN JOSE COMMUNITY CLINIC","authorised_official":"Reza Danesh"},"specialty":{"primary_taxonomy":"261Q00000X","primary_taxonomy_description":"Clinic/Center","slug":"clinic-center","schema_org_specialty":null,"all":[{"code":"261Q00000X","description":"Clinic/Center","primary":true,"state":"CA","license":"A055334"}]},"addresses":[{"purpose":"LOCATION","street_1":"11950 INGLEWOOD AVE","city":"HAWTHORNE","state":"CA","postal_code":"90250","country_code":"US","phone":"3103498338","fax":"3103498340"},{"purpose":"MAILING","street_1":"PO BOX 903","city":"PALOS VERDES ESTATES","state":"CA","postal_code":"902740903","country_code":"US","phone":"3103498338","fax":"3103498340"}],"license":{"state":"CA","number":"A055334"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00A553341","state":"CA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20050428001279","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"5799724621"}]},"enumeration_date":"2007-03-25","last_updated":"2018-06-18","_meta":{"source":"NPPES","snapshot_date":"2018-06-18","doc_url":"https://findmynpi.com/api"}}