{"npi":"1710053012","type":"NPI-2","status":"active","name":{"display":"Verdugo Radiology Medical Group, Inc.","other":[],"organization_name":"VERDUGO RADIOLOGY MEDICAL GROUP, INC.","authorised_official":"Craig Moritz"},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085B0100X","description":"Body Imaging Physician","primary":false,"state":null,"license":null},{"code":"2085N0700X","description":"Radiology","primary":false,"state":null,"license":null},{"code":"2085N0904X","description":"Nuclear Radiology Physician","primary":false,"state":null,"license":null},{"code":"2085P0229X","description":"Pediatric Radiology Physician","primary":false,"state":null,"license":null},{"code":"2085R0001X","description":"Radiation Oncology Physician","primary":false,"state":null,"license":null},{"code":"2085R0203X","description":"Therapeutic Radiology Physician","primary":false,"state":null,"license":null},{"code":"2085R0204X","description":"Vascular & Interventional Radiology Physician","primary":false,"state":null,"license":null},{"code":"2085R0205X","description":"Radiological Physics Physician","primary":false,"state":null,"license":null},{"code":"2085U0001X","description":"Diagnostic Ultrasound Physician","primary":false,"state":null,"license":null},{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1812 VERDUGO BLVD","city":"GLENDALE","state":"CA","postal_code":"912081407","country_code":"US","phone":"8187907100"},{"purpose":"MAILING","street_1":"P.O. BOX 1036","city":"MONTROSE","state":"CA","postal_code":"910211036","country_code":"US","phone":"8182489843","fax":"8182489884"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"YYY49281Y","state":"CA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-11-28","last_updated":"2017-03-22","_meta":{"source":"NPPES","snapshot_date":"2017-03-22","doc_url":"https://findmynpi.com/api"}}