{"npi":"1649203183","type":"NPI-1","status":"active","name":{"display":"Crispin Mar PA-C","other":[],"first":"CRISPIN","last":"MAR","middle":"J.","credential":"PA-C"},"specialty":{"primary_taxonomy":"363AS0400X","primary_taxonomy_description":"Surgical Physician Assistant","slug":"surgical-physician-assistant","schema_org_specialty":null,"all":[{"code":"208G00000X","description":"Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician","primary":false,"state":"CA","license":"PA10329"},{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":true,"state":"CA","license":"PA10329"}]},"addresses":[{"purpose":"LOCATION","street_1":"22431 ANTONIO PKWY # B160-613","city":"RANCHO SANTA MARGARITA","state":"CA","postal_code":"926882804","country_code":"US","phone":"8557272251","fax":"8557272251"},{"purpose":"MAILING","street_1":"22431 ANTONIO PKWY # B160-613","city":"RANCHO SANTA MARGARITA","state":"CA","postal_code":"926882804","country_code":"US","phone":"8557272251","fax":"8557272251"}],"license":{"state":"CA","number":"PA10329"},"identifiers":[{"type_code":"01","label":"Other","value":"10329","state":"CA","issuer":"PHYSICIAN ASSISTANT"},{"type_code":"01","label":"Other","value":"8402","state":"AZ","issuer":"PHYSICIAN ASSISTANT"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-07-08","last_updated":"2024-06-21","_meta":{"source":"NPPES","snapshot_date":"2024-06-21","doc_url":"https://findmynpi.com/api"}}