{"npi":"1356835862","type":"NPI-2","status":"active","name":{"display":"Bay Area Direct Client Care LLC","other":[],"organization_name":"BAY AREA DIRECT CLIENT CARE LLC","authorised_official":"Deshae Martin"},"specialty":{"primary_taxonomy":"207RI0001X","primary_taxonomy_description":"Clinical & Laboratory Immunology (Internal Medicine) Physician","slug":"clinical-laboratory-immunology-internal-medicine-physician","schema_org_specialty":null,"all":[{"code":"373H00000X","description":"Day Training/Habilitation Specialist","primary":false,"state":"FL","license":null},{"code":"251E00000X","description":"Home Health Agency","primary":false,"state":null,"license":null},{"code":"251J00000X","description":"Nursing Care Agency","primary":false,"state":null,"license":null},{"code":"313M00000X","description":"Nursing Facility/Intermediate Care Facility","primary":false,"state":null,"license":null},{"code":"320900000X","description":"Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility","primary":false,"state":null,"license":null},{"code":"385HR2060X","description":"Child Intellectual and/or Developmental Disabilities Respite Care","primary":false,"state":null,"license":null},{"code":"207RI0001X","description":"Clinical & Laboratory Immunology (Internal Medicine) Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"110 LITHIA PINECREST RD STE B","city":"BRANDON","state":"FL","postal_code":"335115300","country_code":"US","phone":"8136795122"},{"purpose":"MAILING","street_1":"2105 ROANOKE SPRINGS DR","city":"RUSKIN","state":"FL","postal_code":"335706312","country_code":"US"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"NONE","state":"FL","issuer":"NONE ASSOCIATED"},{"type_code":"05","label":"Medicaid","value":"025147900","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20210812002553","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"2062768724"}]},"enumeration_date":"2018-06-18","last_updated":"2021-06-11","_meta":{"source":"NPPES","snapshot_date":"2021-06-11","doc_url":"https://findmynpi.com/api"}}