{"npi":"1366493546","type":"NPI-2","status":"active","name":{"display":"Retina Consultants San Diego INC","other":[],"organization_name":"RETINA CONSULTANTS SAN DIEGO INC","authorised_official":"Jocelin Ing"},"specialty":{"primary_taxonomy":"207W00000X","primary_taxonomy_description":"Ophthalmology Physician","slug":"ophthalmology-physician","schema_org_specialty":null,"all":[{"code":"207W00000X","description":"Ophthalmology Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"9850 GENESEE AVE","city":"LA JOLLA","state":"CA","postal_code":"920371224","country_code":"US","street_2":"SUITE 700","phone":"8585589666","fax":"8585581941"},{"purpose":"MAILING","street_1":"12630 MONTE VISTA RD","city":"POWAY","state":"CA","postal_code":"920642526","country_code":"US","street_2":"SUITE 104","phone":"8584511911","fax":"8584510566"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"ZZZ30299Z","state":"CA","issuer":"BLUE SHIELD"},{"type_code":"05","label":"Medicaid","value":"GR0045281","state":"CA","issuer":null},{"type_code":"01","label":"Other","value":"DA1466","state":"CA","issuer":"MEDICARE RAILROAD"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-05-13","last_updated":"2024-02-06","_meta":{"source":"NPPES","snapshot_date":"2024-02-06","doc_url":"https://findmynpi.com/api"}}