{"npi":"1396880985","type":"NPI-2","status":"active","name":{"display":"Simon R. Valencia MD, INC","other":[],"organization_name":"SIMON R. VALENCIA MD, INC","authorised_official":"Simon Valencia"},"specialty":{"primary_taxonomy":"207RE0101X","primary_taxonomy_description":"Endocrinology, Diabetes & Metabolism Physician","slug":"endocrinology-diabetes-metabolism-physician","schema_org_specialty":null,"all":[{"code":"207RE0101X","description":"Endocrinology, Diabetes & Metabolism Physician","primary":true,"state":"CA","license":"A29972"}]},"addresses":[{"purpose":"LOCATION","street_1":"1234 N VERMONT AVE","city":"LOS ANGELES","state":"CA","postal_code":"90029","country_code":"US","phone":"3236605624","fax":"3306605626"},{"purpose":"MAILING","street_1":"1234 N VERMONT AVE","city":"LOS ANGELES","state":"CA","postal_code":"90029","country_code":"US","phone":"3236605624","fax":"3306605626"}],"license":{"state":"CA","number":"A29972"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00A299720","state":"CA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-02-21","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}