{"npi":"1902862147","type":"NPI-2","status":"active","name":{"display":"Gulf Shore Anesthesia Associates PA","other":[],"organization_name":"GULF SHORE ANESTHESIA ASSOCIATES PA","authorised_official":"Hugo Tolentino"},"specialty":{"primary_taxonomy":"207L00000X","primary_taxonomy_description":"Anesthesiology","slug":"anesthesiology","schema_org_specialty":"Anesthesia","all":[{"code":"207L00000X","description":"Anesthesiology","primary":false,"state":"TX","license":null},{"code":"207L00000X","description":"Anesthesiology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"6130 PARKWAY DR","city":"CORPUS CHRISTI","state":"TX","postal_code":"784142455","country_code":"US","phone":"3618836211","fax":"3618824891"},{"purpose":"MAILING","street_1":"4455 S PADRE ISLAND DR STE 104","city":"CORPUS CHRISTI","state":"TX","postal_code":"784115125","country_code":"US","phone":"3618836211","fax":"3618824891"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"083801302","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040311001101","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TX","pac_id":"3173412806"}]},"enumeration_date":"2006-04-25","last_updated":"2026-05-13","_meta":{"source":"NPPES","snapshot_date":"2026-05-13","doc_url":"https://findmynpi.com/api"}}