{"entity":{"entity_id":"4fd1f49a-25e3-497b-ae51-d431c6099d32","entity_type":"person","display_name":"ANA ALTAMIRANO","state":"TX","status":"active","merged_into":null,"methodology_version":"entity-graph/v1","created_at":"2026-06-11T03:14:34.240208+00:00","updated_at":"2026-06-11T03:14:34.240208+00:00"},"identifiers":[{"id_scheme":"cms_op_profile_id","id_value":"10966315","source_table":"cms_open_payments","link_method":"exact_npi_in_open_payments","link_confidence":1,"source_evidence":{"npi":"1134733363","rule":"D-OP-NPI","recipient_profile_id":"10966315"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T04:49:17.591702+00:00","recorded_at":"2026-06-13T04:49:17.591702+00:00"},{"id_scheme":"npi","id_value":"1134733363","source_table":"nppes_providers","link_method":"deterministic_pk","link_confidence":1,"source_evidence":{"rule":"D-NPI","source_pk":"1134733363","entity_type_code":"1"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-11T03:14:36.080398+00:00","recorded_at":"2026-06-11T03:14:36.080398+00:00"}],"edges":[{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"daec9248-67d2-458f-ac1b-456f93c08e15","entity_type":"organization","display_name":"Phadia US Inc.","state":"MI"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1134733363","manufacturer_id":"100000010419","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T13:42:39.457665+00:00","recorded_at":"2026-06-13T13:42:39.457665+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"62beda48-3b62-4d38-8b13-ec6c9e1952de","entity_type":"organization","display_name":"Cranial Technologies, Inc","state":"AZ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1134733363","manufacturer_id":"100000011237","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T14:25:08.925292+00:00","recorded_at":"2026-06-13T14:25:08.925292+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"356b2c4e-26dc-4b2e-af63-ccc4c33b855f","entity_type":"organization","display_name":"AstraZeneca Pharmaceuticals LP","state":"DE"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1134733363","manufacturer_id":"100000000146","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T19:09:07.271133+00:00","recorded_at":"2026-06-13T19:09:07.271133+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"4bb95475-9c05-4770-9c04-39004ec2ca47","entity_type":"organization","display_name":"GlaxoSmithKline, LLC.","state":"PA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1134733363","manufacturer_id":"100000005449","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T21:06:09.15951+00:00","recorded_at":"2026-06-13T21:06:09.15951+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"422b36ec-6c4f-43d5-953c-b700244ebf6c","entity_type":"organization","display_name":"Verrica Pharmaceuticals Inc.","state":"PA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1134733363","manufacturer_id":"100000851821","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T22:23:47.782084+00:00","recorded_at":"2026-06-13T22:23:47.782084+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"771a9861-89e3-48a0-b628-b213f2d89338","entity_type":"organization","display_name":"SANOFI PASTEUR INC.","state":"PA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1134733363","manufacturer_id":"100000000299","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T23:41:26.238402+00:00","recorded_at":"2026-06-13T23:41:26.238402+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"fff02ddf-93be-4058-b845-b2f600d8d134","entity_type":"organization","display_name":"Merck Sharp & Dohme LLC","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1134733363","manufacturer_id":"100000000053","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T03:10:14.166248+00:00","recorded_at":"2026-06-14T03:10:14.166248+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"0e1cb229-dfdf-4d86-85e0-8312facf7145","entity_type":"organization","display_name":"Ultragenyx Pharmaceutical Inc.","state":"CA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1134733363","manufacturer_id":"100000196876","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T06:06:41.895747+00:00","recorded_at":"2026-06-14T06:06:41.895747+00:00"}],"edges_truncated":false,"methodology_version":"entity-graph/v1"}