{"npi":"1356541429","type":"NPI-2","status":"active","name":{"display":"Pediatric Cardiology Specialists Medical Group INC","other":[],"organization_name":"PEDIATRIC CARDIOLOGY SPECIALISTS MEDICAL GROUP INC","authorised_official":"Mohammad Kanakriyeh"},"specialty":{"primary_taxonomy":"2080P0202X","primary_taxonomy_description":"Pediatric Cardiology Physician","slug":"pediatric-cardiology-physician","schema_org_specialty":null,"all":[{"code":"2080P0202X","description":"Pediatric Cardiology Physician","primary":true,"state":"CA","license":"00A425260"}]},"addresses":[{"purpose":"LOCATION","street_1":"350 E VANDERBILT WAY STE A","city":"SAN BERNARDINO","state":"CA","postal_code":"924083593","country_code":"US","phone":"9098865200","fax":"9493363827"},{"purpose":"MAILING","street_1":"350 E VANDERBILT WAY STE A","city":"SAN BERNARDINO","state":"CA","postal_code":"924083593","country_code":"US","phone":"9098865200","fax":"9493363827"}],"license":{"state":"CA","number":"00A425260"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1356541429","state":"CA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20141029001952","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"4082835319"}]},"enumeration_date":"2007-07-18","last_updated":"2026-02-10","_meta":{"source":"NPPES","snapshot_date":"2026-02-10","doc_url":"https://findmynpi.com/api"}}