{"npi":"1649598772","type":"NPI-2","status":"active","name":{"display":"Clinica Medica De La Mora INC","other":[],"organization_name":"CLINICA MEDICA DE LA MORA INC","authorised_official":"Oscar De La Mora"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"CA","license":"A30061"},{"code":"208000000X","description":"Pediatrics","primary":false,"state":"CA","license":"A50769"},{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"CA","license":"C50916"}]},"addresses":[{"purpose":"LOCATION","street_1":"995 GATEWAY CENTER WAY","city":"SAN DIEGO","state":"CA","postal_code":"921024500","country_code":"US","street_2":"SUITE 202","phone":"6192643107","fax":"6192646927"},{"purpose":"MAILING","street_1":"995 GATEWAY CENTER WAY","city":"SAN DIEGO","state":"CA","postal_code":"921024500","country_code":"US","street_2":"SUITE 202","phone":"6192643107","fax":"6192646927"}],"license":{"state":"CA","number":"C50916"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"A050769","state":"CA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20120319000405","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"9335279207"}]},"enumeration_date":"2010-05-13","last_updated":"2010-05-13","_meta":{"source":"NPPES","snapshot_date":"2010-05-13","doc_url":"https://findmynpi.com/api"}}