{"npi":"1447847546","type":"NPI-2","status":"active","name":{"display":"Garden Grove Podiatry","other":[],"organization_name":"GARDEN GROVE PODIATRY","authorised_official":"Marie Shin"},"specialty":{"primary_taxonomy":"213ES0103X","primary_taxonomy_description":"Foot & Ankle Surgery Podiatrist","slug":"foot-ankle-surgery-podiatrist","schema_org_specialty":null,"all":[{"code":"213ES0103X","description":"Foot & Ankle Surgery Podiatrist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"12665 GARDEN GROVE BLVD STE 203","city":"GARDEN GROVE","state":"CA","postal_code":"928431916","country_code":"US","phone":"7146204699","fax":"8888667055"},{"purpose":"MAILING","street_1":"12665 GARDEN GROVE BLVD STE 203","city":"GARDEN GROVE","state":"CA","postal_code":"928431916","country_code":"US","phone":"7146204699","fax":"8888667055"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20210119000521","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"7315350022"}]},"enumeration_date":"2020-12-23","last_updated":"2021-09-21","_meta":{"source":"NPPES","snapshot_date":"2021-09-21","doc_url":"https://findmynpi.com/api"}}