{"npi":"1417192550","type":"NPI-2","status":"active","name":{"display":"Independence Community Treatment Clinic","other":[],"organization_name":"INDEPENDENCE COMMUNITY TREATMENT CLINIC","authorised_official":"Alex Branzburg"},"specialty":{"primary_taxonomy":"261QC1500X","primary_taxonomy_description":"Community Health Clinic/Center","slug":"community-health-clinic-center","schema_org_specialty":null,"all":[{"code":"261QC1500X","description":"Community Health Clinic/Center","primary":true,"state":"CA","license":"960001358"}]},"addresses":[{"purpose":"LOCATION","street_1":"6040 W AVENUE L","city":"QUARTZ HILL","state":"CA","postal_code":"935364501","country_code":"US","street_2":"ROOM423,V3, AGI","phone":"8187761755","fax":"8187761657"},{"purpose":"MAILING","street_1":"19231 VICTORY BLVD","city":"RESEDA","state":"CA","postal_code":"913356308","country_code":"US","street_2":"SUITE 554","phone":"8187761755","fax":"8187761657"}],"license":{"state":"CA","number":"960001358"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"196856000","state":"CA","issuer":null},{"type_code":"05","label":"Medicaid","value":"CMM70956F","state":"CA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-12-03","last_updated":"2009-12-11","_meta":{"source":"NPPES","snapshot_date":"2009-12-11","doc_url":"https://findmynpi.com/api"}}