{"npi":"1629003637","type":"NPI-1","status":"active","name":{"display":"Marc Kobernick MD","other":[],"first":"MARC","last":"KOBERNICK","middle":"E","credential":"MD"},"specialty":{"primary_taxonomy":"207P00000X","primary_taxonomy_description":"Emergency Medicine","slug":"emergency-medicine","schema_org_specialty":"Emergency","all":[{"code":"207P00000X","description":"Emergency Medicine","primary":true,"state":"CA","license":"G52533"}]},"addresses":[{"purpose":"LOCATION","street_1":"10240 WINECREEK CT","city":"SAN DIEGO","state":"CA","postal_code":"921273728","country_code":"US","phone":"8587744468"},{"purpose":"MAILING","street_1":"10240 WINECREEK CT","city":"SAN DIEGO","state":"CA","postal_code":"921273728","country_code":"US","phone":"8587744468"}],"license":{"state":"CA","number":"G52533"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00G525330","state":"CA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20081104000064","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"CA","pac_id":"0244399491"}]},"enumeration_date":"2006-07-11","last_updated":"2021-11-15","_meta":{"source":"NPPES","snapshot_date":"2021-11-15","doc_url":"https://findmynpi.com/api"}}