{"npi":"1699759332","type":"NPI-2","status":"active","name":{"display":"Ukiah Valley Primary Care Medical Group, INC","other":[],"organization_name":"UKIAH VALLEY PRIMARY CARE MEDICAL GROUP, INC","authorised_official":"Jeremy Mann"},"specialty":{"primary_taxonomy":"261QM1300X","primary_taxonomy_description":"Multi-Specialty Clinic/Center","slug":"multi-specialty-clinic-center","schema_org_specialty":null,"all":[{"code":"261QM1300X","description":"Multi-Specialty Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"260 HOSPITAL DR. STE. 207","city":"UKIAH","state":"CA","postal_code":"954824533","country_code":"US","phone":"7074638000","fax":"7074621111"},{"purpose":"MAILING","street_1":"PO BOX 2739","city":"UKIAH","state":"CA","postal_code":"954822739","country_code":"US","phone":"7074638000","fax":"7074621111"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"GR0067100","state":"CA","issuer":null},{"type_code":"05","label":"Medicaid","value":"RHM03947G","state":"CA","issuer":null},{"type_code":"05","label":"Medicaid","value":"GPT000830","state":"CA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-12-06","last_updated":"2009-06-03","_meta":{"source":"NPPES","snapshot_date":"2009-06-03","doc_url":"https://findmynpi.com/api"}}