{"npi":"1649354366","type":"NPI-2","status":"active","name":{"display":"Optimum Medical Clinics INC","other":[],"organization_name":"OPTIMUM MEDICAL CLINICS INC","authorised_official":"Samuel Park"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"CA","license":"A050474"}]},"addresses":[{"purpose":"LOCATION","street_1":"20072 SW BIRCH ST","city":"NEWPORT BEACH","state":"CA","postal_code":"926600794","country_code":"US","street_2":"STE 100","phone":"9497571150","fax":"9497571170"},{"purpose":"MAILING","street_1":"20072 SW BIRCH ST","city":"NEWPORT BEACH","state":"CA","postal_code":"926600794","country_code":"US","street_2":"STE 100","phone":"9497571150","fax":"9497571170"}],"license":{"state":"CA","number":"A050474"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"GR0088240","state":"CA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20050728000242","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"4880622158"}]},"enumeration_date":"2006-10-25","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}