{"npi":"1871697136","type":"NPI-2","status":"active","name":{"display":"Accredited Dermatology Medical Clinic INC","other":[],"organization_name":"ACCREDITED DERMATOLOGY MEDICAL CLINIC INC","authorised_official":"Patrick Dahl"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"301 W BASTANCHURY ROAD","city":"FULLERTON","state":"CA","postal_code":"92835","country_code":"US","street_2":"SUITE 245","phone":"7145253500","fax":"7145253588"},{"purpose":"MAILING","street_1":"PO BOX 5859","city":"FULLERTON","state":"CA","postal_code":"92838","country_code":"US","phone":"7145253500","fax":"7145253588"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20050719001205","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"1850328048"}]},"enumeration_date":"2006-09-08","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}