{"result_count":1,"results":[{"addresses":[{"address_1":"3815 N 38TH ST","address_purpose":"LOCATION","address_type":"DOM","city":"TACOMA","country_code":"US","country_name":"United States","postal_code":"984076122","state":"WA","telephone_number":"253-514-8831"},{"address_1":"3815 N 38TH ST","address_purpose":"MAILING","address_type":"DOM","city":"TACOMA","country_code":"US","country_name":"United States","postal_code":"984076122","state":"WA","telephone_number":"253-514-8831"}],"basic":{"certification_date":"2025-12-05","credential":"MD","enumeration_date":"2006-10-04","first_name":"RAMON","last_name":"ANEL","last_updated":"2025-12-05","middle_name":"L","sex":"M","sole_proprietor":"NO","status":"A"},"created_epoch":"1159935122000","endpoints":[],"enumeration_type":"NPI-1","identifiers":[{"code":"01","desc":"Other (non-Medicare)","identifier":"0240385","issuer":"State L&I","state":"WA"},{"code":"01","desc":"Other (non-Medicare)","identifier":"0249100","issuer":"State L&I","state":"WA"},{"code":"01","desc":"Other (non-Medicare)","identifier":"g8926177","issuer":"MEDICARE PTAN","state":"WA"}],"last_updated_epoch":"1764965635000","number":"1467547711","other_names":[],"practiceLocations":[{"address_1":"888 SWIFT BLVD","address_purpose":"LOCATION","address_type":"DOM","city":"RICHLAND","country_code":"US","country_name":"United States","fax_number":"509-942-2812","postal_code":"993523514","state":"WA","telephone_number":"509-942-2648"},{"address_1":"700 WEST AVE S","address_purpose":"LOCATION","address_type":"DOM","city":"LA CROSSE","country_code":"US","country_name":"United States","postal_code":"546018806","state":"WI","telephone_number":"608-785-0940"}],"taxonomies":[{"code":"207RN0300X","desc":"Internal Medicine, Nephrology","license":"MD60036716","primary":false,"state":"WA","taxonomy_group":""},{"code":"207RC0200X","desc":"Internal Medicine, Critical Care Medicine","license":"MD60036716","primary":true,"state":"WA","taxonomy_group":""},{"code":"207RN0300X","desc":"Internal Medicine, Nephrology","license":"691","primary":false,"state":"WI","taxonomy_group":""},{"code":"207RC0200X","desc":"Internal Medicine, Critical Care Medicine","license":"326053","primary":false,"state":"LA","taxonomy_group":""},{"code":"207RC0200X","desc":"Internal Medicine, Critical Care Medicine","license":"MD167859","primary":false,"state":"OR","taxonomy_group":""}]}]}