{"npi":"1801868658","type":"NPI-1","status":"active","name":{"display":"Dr. Constantinos Chrysostomou MD","other":[],"first":"CONSTANTINOS","last":"CHRYSOSTOMOU","credential":"MD"},"specialty":{"primary_taxonomy":"2080P0202X","primary_taxonomy_description":"Pediatric Cardiology Physician","slug":"pediatric-cardiology-physician","schema_org_specialty":null,"all":[{"code":"174400000X","description":"Specialist","primary":false,"state":"PA","license":"MD426904"},{"code":"2080P0202X","description":"Pediatric Cardiology Physician","primary":false,"state":"FL","license":"ME126009"},{"code":"2080P0202X","description":"Pediatric Cardiology Physician","primary":true,"state":"CA","license":"C129462"}]},"addresses":[{"purpose":"LOCATION","street_1":"17360 BROOKHURST STREET","city":"FOUNTAIN VALLEY","state":"CA","postal_code":"927083720","country_code":"US","street_2":"ATTN: NETWORK MANAGEMENT","phone":"7143772900"},{"purpose":"MAILING","street_1":"17360 BROOKHURST STREET","city":"FOUNTAIN VALLEY","state":"CA","postal_code":"927083720","country_code":"US","street_2":"ATTN: NETWORK MANAGEMENT","phone":"7143772900"}],"license":{"state":"CA","number":"C129462"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"101479082","state":"PA","issuer":null},{"type_code":"05","label":"Medicaid","value":"016288000","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20140610000674","type_code":"14-06","type_desc":"PRACTITIONER - CARDIOVASCULAR DISEASE (CARDIOLOGY)","state":"CA","pac_id":"4981622750"},{"enrlmt_id":"I20220815000927","type_code":"14-06","type_desc":"PRACTITIONER - CARDIOVASCULAR DISEASE (CARDIOLOGY)","state":"TX","pac_id":"4981622750"}]},"enumeration_date":"2006-02-06","last_updated":"2022-06-23","_meta":{"source":"NPPES","snapshot_date":"2022-06-23","doc_url":"https://findmynpi.com/api"}}