{"npi":"1982820221","type":"NPI-2","status":"active","name":{"display":"Clinicas Del Camino Real INC","other":[],"organization_name":"CLINICAS DEL CAMINO REAL INC","authorised_official":"Farhad Benharash"},"specialty":{"primary_taxonomy":"261QF0400X","primary_taxonomy_description":"Federally Qualified Health Center","slug":"fqhc","schema_org_specialty":"PrimaryCare","all":[{"code":"261QF0400X","description":"Federally Qualified Health Center","primary":true,"state":"CA","license":"550000384"}]},"addresses":[{"purpose":"LOCATION","street_1":"1000 NEWBURY RD","city":"NEWBURY PARK","state":"CA","postal_code":"913206435","country_code":"US","street_2":"SUITE 150","phone":"8054983640","fax":"8054983641"},{"purpose":"MAILING","street_1":"200 S WELLS RD STE 150","city":"VENTURA","state":"CA","postal_code":"930041380","country_code":"US","phone":"8056592752","fax":"8056599959"}],"license":{"state":"CA","number":"550000384"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"CMM71164F","state":"CA","issuer":null},{"type_code":"05","label":"Medicaid","value":"FHC71164F","state":"CA","issuer":null},{"type_code":"01","label":"Other","value":"HAP71164F","state":"CA","issuer":"HEALTH ACCESS PROGRAM"},{"type_code":"01","label":"Other","value":"ZZZ62823Z","state":"CA","issuer":"BLUE SHIELD"},{"type_code":"01","label":"Other","value":"BCP71164F","state":"CA","issuer":"EDS CANCER DETECTION PROG"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20070918000502","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"CA","pac_id":"3173434396"}]},"enumeration_date":"2007-04-17","last_updated":"2022-06-07","_meta":{"source":"NPPES","snapshot_date":"2022-06-07","doc_url":"https://findmynpi.com/api"}}