{"npi":"1770524985","type":"NPI-2","status":"active","name":{"display":"Optumcare Colorado Medical Group LLC","other":[],"organization_name":"OPTUMCARE COLORADO MEDICAL GROUP LLC","authorised_official":"Emily Castillo"},"specialty":{"primary_taxonomy":"208D00000X","primary_taxonomy_description":"General Practice","slug":"general-practice","schema_org_specialty":"PrimaryCare","all":[{"code":"208D00000X","description":"General Practice","primary":false,"state":null,"license":null},{"code":"208D00000X","description":"General Practice","primary":true,"state":"CO","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2 S CASCADE AVE STE 140","city":"COLORADO SPRINGS","state":"CO","postal_code":"809031604","country_code":"US","phone":"7194635600","fax":"7195382990"},{"purpose":"MAILING","street_1":"PO BOX 35380","city":"LAS VEGAS","state":"NV","postal_code":"891335380","country_code":"US","phone":"7025793203","fax":"7195382990"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"04740080","state":"CO","issuer":null},{"type_code":"05","label":"Medicaid","value":"06085288","state":"CO","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-06-09","last_updated":"2024-08-19","_meta":{"source":"NPPES","snapshot_date":"2024-08-19","doc_url":"https://findmynpi.com/api"}}