{"npi":"1497840656","type":"NPI-2","status":"active","name":{"display":"Open Door Community Health Centers","other":[],"organization_name":"OPEN DOOR COMMUNITY HEALTH CENTERS","authorised_official":"Victor Starr"},"specialty":{"primary_taxonomy":"261QF0400X","primary_taxonomy_description":"Federally Qualified Health Center","slug":"fqhc","schema_org_specialty":"PrimaryCare","all":[{"code":"207VX0000X","description":"Obstetrics Physician","primary":false,"state":null,"license":null},{"code":"261QF0400X","description":"Federally Qualified Health Center","primary":true,"state":"CA","license":"010000215"}]},"addresses":[{"purpose":"LOCATION","street_1":"550 E WASHINGTON BLVD","city":"CRESCENT CITY","state":"CA","postal_code":"955318342","country_code":"US","phone":"7074656925","fax":"7074656070"},{"purpose":"MAILING","street_1":"1275 8TH ST","city":"ARCATA","state":"CA","postal_code":"955215770","country_code":"US","phone":"7078268633","fax":"7078268638"}],"license":{"state":"CA","number":"010000215"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"FHC03919F","state":"CA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040105000174","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"CA","pac_id":"9436067485"},{"enrlmt_id":"O20040414000890","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"9436067485"}]},"enumeration_date":"2006-10-04","last_updated":"2023-06-07","_meta":{"source":"NPPES","snapshot_date":"2023-06-07","doc_url":"https://findmynpi.com/api"}}