{"npi":"1427382811","type":"NPI-2","status":"active","name":{"display":"Central Coast Otolaryngology","other":[],"organization_name":"CENTRAL COAST OTOLARYNGOLOGY","authorised_official":"Elizabeth Wikholm"},"specialty":{"primary_taxonomy":"207Y00000X","primary_taxonomy_description":"Otolaryngology Physician","slug":"otolaryngology-physician","schema_org_specialty":null,"all":[{"code":"207YS0012X","description":"Sleep Medicine (Otolaryngology) Physician","primary":false,"state":null,"license":null},{"code":"207Y00000X","description":"Otolaryngology Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"116 S PALISADE DR","city":"SANTA MARIA","state":"CA","postal_code":"934548904","country_code":"US","street_2":"SUITE 206","phone":"8056149250"},{"purpose":"MAILING","street_1":"116 S PALISADE DR","city":"SANTA MARIA","state":"CA","postal_code":"934548904","country_code":"US","street_2":"STE 206","phone":"8056149250","fax":"8056149260"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"CL711A","state":"CA","issuer":"MEDICARE PTAN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20091124000624","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"2769521178"}]},"enumeration_date":"2009-10-01","last_updated":"2018-11-29","_meta":{"source":"NPPES","snapshot_date":"2018-11-29","doc_url":"https://findmynpi.com/api"}}