AristaMD

AristaMD is a San Diego based specialty care company whose eConsult platform connects primary care providers to a panel of board-certified specialists across more than 70 specialties and subspecialties, delivering asynchronous, documented specialist recommendations that reduce unnecessary face-to-face referrals, emergency department visits and hospitalizations. The platform is sold to health plans, Medicaid programs, federally qualified health centers and provider groups, and is delivered through EHR-embedded referral workflows, HL7 messaging and a REST API. AristaMD publishes a live Swagger 2.0 definition for its core business-logic API at api.aristamd.com/api-docs covering eConsults, patients, panelists, specialties, reviews and workup checklists, and operates an OAuth 2.0 authorization server plus a SAML 2.0 service-provider endpoint for federated single sign-on.

AristaMD publishes 12 API contracts indexed on the APIs.io network, including Comments API, Diagnostic API, E Consults API, and 9 more. Tagged areas include Company, Healthcare, Digital Health, Telehealth, and eConsult.

The AristaMD catalog on APIs.io includes 1 Spectral governance ruleset.

AristaMD’s developer surface includes signup flow, support, engineering blog, authentication, and 22 more developer resources.

🌐 Visit website 📡 Profile data on GitHub

37.5/100 thin ▬ flat Agent 18/100 agent aware Front door AI 1/6 silent Heartbeat 35/100 alive saas Full breakdown ↓
scored 2026-11-06 · rubric v0.27.0 · Show this score on your site →

AccessSelf serve

1 published contract 3 Agent Skills

Company Healthcare Digital Health TelehealtheConsultSpecialty Care Referrals Care Coordination Health Plans Medicaid HL7 Electronic Health Records

What this lets a business do 1

Business capabilities this provider's published APIs can perform, derived from its own contracts. Browse all capabilities →

Care Coordination Management

BC-2820

EConsults

Kin Score

Kin Score How this is scored →
scored 2026-11-06 · rubric v0.27.0

Composite quality — 37.5/100 · thin

Contract Quality 7.8 / 19

Developer Ergonomics 3.1 / 15

Access Clarity 7.5 / 15

Operational Transparency 1.3 / 10

Contract Governance 1.6 / 9

Discoverability 5.5 / 8

Regulatory Posture 4.2 / 15

Create-or-Update Ergonomics 0.0 / 10

Agent readiness — 18/100 · agent aware

Machine-Readable Contract 18 / 18

Agentic Access Contract 10 / 10

Documented Reversibility 0 / 6

MCP Server 0 / 12

Machine-Readable Auth 10 / 10

Idempotency 0 / 9

Stable Error Semantics 8 / 8

Request/Response Examples 0 / 7

Rate-Limit Signaling 0 / 7

Typed Event Surface 0 / 6

Agent Skills 5 / 5

Well-Known Catalog 0 / 4

Consent & Bot Identity 0 / 3

A2A Agent Card 0 / 8

Dry-Run / Simulate Mode 0 / 4

Delegated User Identity 0 / 6

Protected Resource Metadata 0 / 5

Registration Without a Human 0 / 6

Agentic Commerce Well-Known Document 0 / 5

Pagination 0 / 5

Distinct Operations 0 / 3

MCP Tool Quality 6 / 6

Regulatory Posture applies to this provider. Its tags matched the Health regime, so Regulatory Posture carries 15 points of the composite. If this regime is wrong for your business, say so on your provider repo — the applicability map is public and we will correct it.

Create-or-Update Ergonomics applies to this provider. This API accepts writes, so it carries 10 points of the composite. It is scored from the published contracts themselves: whether a caller can create-or-update in one call, whether the write accepts a key the caller already holds, and whether the response says which branch ran. Without that, every write needs a search-and-branch in front of it, and the first time that check is skipped a duplicate record is created. Scored against the observed mean rather than raw — a provider at the catalog average is unchanged by this facet, not penalised by it.

The six quality facets above are damped to 75 points between them, because the conditional facet above carries the other 25. That is why each facet's contribution is shown against a damped maximum: raising a quality facet moves the composite by 75% of its nominal weight, not 100%. The full arithmetic is at apis.io/rating/.

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Agent readiness — checks not met, largest first (exact, from this profile):

MCP Server +12 pts — deployment.mode + probe verdict on the mcp/ manifest, not the pointer; an unprobed slug falls back to authorship
Idempotency +9 pts — OpenAPI mutating operations declare an idempotency key — a header, a request-body property, or a named de-duplication token whose own description says so (verified); else common[].type matches /idempoten/i (documented)
A2A Agent Card +8 pts — a2a/-a2a.yml manifest, graded on conformance.grade against A2A 1.0.0
Rate-Limit Signaling +7 pts — OpenAPI responses document X-RateLimit-* / RateLimit headers (verified), else a rate_limits artifact or RateLimits link (documented)
Request/Response Examples +7 pts — share of operations carrying request/response examples; else an Examples / Code Samples link
Registration Without a Human +6 pts — a `registration_endpoint` in the served RFC 8414 / OIDC discovery document

10 more unmet checks in the Agent Readiness table above.

Kin Score — facets with the most composite points still available (weight × headroom):

Developer Ergonomics scores 20.8 — up to +15.8 composite points
Contract Quality scores 41.6 — up to +14.6 composite points
Operational Transparency scores 13.2 — up to +11.3 composite points

Each check links to what satisfies it. Publish the artifact, or tell us where it already lives, and the score moves on the next scoring run.

Improve this rating by publishing the missing artifacts — every area above can be raised, and the full rubric is at apis.io/rating/. Every facet and dimension name above is a link: it opens that measurement's own page — what it means, the exact checks that feed it, how the whole catalog distributes on it, and the providers at the top of it. This rating is computed from the provider profile at artifacts.apis.io/aristamd/apis.yml: open an issue on github.com/api-evangelist/aristamd to ask a question or point us at an artifact you publish. Submit an artifact on GitHub — free → Manage your own listing — the Influence plan, $499/mo →

Standards implemented 2

Standards this provider implements or carries. De facto ones are profiled and measured by the API Commons; formal ones come from the standards directory and are linked by the provider's own tags. The evidence column says how each claim was established — not that it was made.

OpenAPI

measured — observed by APIs.io (published)

OAuth 2.0

measured — observed by APIs.io (declared)

APIs 12

Individual APIs this provider publishes, each with its own machine-readable definition.

AristaMD Comments API

The Comments API from AristaMD — 1 operation(s) for comments.

AristaMD Diagnostic API

The Diagnostic API from AristaMD — 1 operation(s) for diagnostic.

AristaMD E Consults API

The EConsults API from AristaMD — 7 operation(s) for econsults.

AristaMD Intergy/Patients API

The Intergy/Patients API from AristaMD — 1 operation(s) for intergy/patients.

AristaMD Panelists API

The Panelists API from AristaMD — 2 operation(s) for panelists.

AristaMD Patients API

The Patients API from AristaMD — 7 operation(s) for patients.

AristaMD Requests API

The Requests API from AristaMD — 1 operation(s) for requests.

AristaMD Reviews API

The Reviews API from AristaMD — 2 operation(s) for reviews.

AristaMD Specialties API

The Specialties API from AristaMD — 3 operation(s) for specialties.

AristaMD Specialty API

The Specialty API from AristaMD — 1 operation(s) for specialty.

AristaMD Users API

The Users API from AristaMD — 4 operation(s) for users.

AristaMD Workup Checklists API

The Workup Checklists API from AristaMD — 3 operation(s) for workup checklists.

Scroll for all 12

Open Collections 12

Open, tool-agnostic API collections (OpenAPI-derived and Bruno).

Arista MD Comments API

OPEN COLLECTION

Arista MD Diagnostic API

OPEN COLLECTION

Arista MD E Consults API

OPEN COLLECTION

Arista MD Intergy/Patients API

OPEN COLLECTION

Arista MD API

OPEN COLLECTION

Arista MD Panelists API

OPEN COLLECTION

Arista MD Patients API

OPEN COLLECTION

Arista MD Requests API

OPEN COLLECTION

Arista MD Specialties API

OPEN COLLECTION

Arista MD Specialty API

OPEN COLLECTION

Arista MD Users API

OPEN COLLECTION

Arista MD Workup Checklists API

OPEN COLLECTION

Scroll for all 12

Agent Skills 3

Packaged agent skills for driving this provider's APIs from an AI assistant.

Submit an eConsult to a specialist

AGENT SKILL

Sync patients into AristaMD from an EHR

AGENT SKILL

Triage and work the eConsult queue as a specialist

AGENT SKILL

Spectral Rules 1

Spectral governance rulesets for linting and validating these APIs.

AristaMD API Rules

47 rules · 34 errors 11 warnings 2 info

SPECTRAL

OpenAPI Overlays 1

Overlays applied on top of this provider's contracts. Each card says who wrote it: a document the provider publishes, or one API Evangelist derived or generated.

Aristamd Api Overlay

7 actions · documentation · aristamd-openapi-original.json

DERIVED

Security Posture 4

Authentication, domain security, vulnerability disclosure, and trust-center signals.

Aristamd Authentication

oauth2/saml2 · 2 schemes

SECURITY

Aristamd Domain Security

TLSv1.3 · HSTS · DMARC

SECURITY

Aristamd Vulnerability Disclosure

Hackerone · contact published

SECURITY

Aristamd Trust Center

SOC 2

SECURITY

Agentic Access 1

Recommended x-agentic-access execution contracts for AI agents.

Aristamd Agentic Access

42 operations · 21 acting

AGENTIC

Resources

Get Started 2

Portal, sign-up, and the first successful call

SignUp

SignUp

Login

Agent Surfaces 4

MCP servers, agent skills, and machine-readable catalogs

X-MCPServerCandidate

LLMsTxt

AgentSkill

AgenticAccess

Design & Contract 5

Pagination, idempotency, versioning, errors, and events

Conformance

Conventions

Lifecycle

ErrorCatalog

DataModel

Build 2

SDKs, sample code, and the tooling you integrate with

GitHubOrganization

GitHubOrganization

Packages

Packages

Access & Security 6

Authentication, authorization, and security posture

Security

Security

Compliance

Compliance

TrustCenter

TrustCenter

VulnerabilityDisclosure

VulnerabilityDisclosure

DomainSecurity

DomainSecurity

Authentication

Authentication

Operate 1

Status, limits, changes, and where to get help

Support

Support

Commercial 2

Pricing, plans, and the legal terms of use

TermsOfService

TermsOfService

PrivacyPolicy

PrivacyPolicy

Company 2

The organization behind the API

Website

Website

Blog

Blog

Other 2

Properties that don't map to a standard resource type

CapabilityMap

CapabilityMap

Overlay

Overlay

Source (apis.yml)

aid: aristamd
name: AristaMD
description: AristaMD is a San Diego based specialty care company whose eConsult platform connects primary care providers
  to a panel of board-certified specialists across more than 70 specialties and subspecialties, delivering asynchronous, documented
  specialist recommendations that reduce unnecessary face-to-face referrals, emergency department visits and hospitalizations.
  The platform is sold to health plans, Medicaid programs, federally qualified health centers and provider groups, and is
  delivered through EHR-embedded referral workflows, HL7 messaging and a REST API. AristaMD publishes a live Swagger 2.0 definition
  for its core business-logic API at api.aristamd.com/api-docs covering eConsults, patients, panelists, specialties, reviews
  and workup checklists, and operates an OAuth 2.0 authorization server plus a SAML 2.0 service-provider endpoint for federated
  single sign-on.
deliveryModel:
  model: saas
  open_source: false
  commercial: true
  callable_host: true
  label: Hosted service · you call their endpoint
  confidence: high
  source:
  - openapi
  - pricing
  generated: '2026-08-28'
  method: derived
accessModel:
  pricing: unknown
  onboarding: self-serve
  trial: false
  try_now: false
  public: false
  gated: none
  gated_source:
  - onboarding
  label: Self-serve signup
  confidence: low
  probe_state: covered
  source:
  - authentication
  - security
  generated: '2026-11-06'
  method: derived
image: https://www.aristamd.com/wp-content/uploads/AristaMD-SM.jpg
url: https://raw.githubusercontent.com/api-evangelist/aristamd/refs/heads/main/apis.yml
x-type: company
x-source: harvest:secondary-market
specificationVersion: '0.23'
created: '2026-08-06'
modified: '2026-08-06'
tags:
- Company
- Healthcare
- Digital Health
- Telehealth
- eConsult
- Specialty Care
- Referrals
- Care Coordination
- Health Plans
- Medicaid
- HL7
- Electronic Health Records
apis:
- aid: aristamd:aristamd-comments-api
  name: AristaMD Comments API
  description: The Comments API from AristaMD — 1 operation(s) for comments.
  humanURL: https://www.aristamd.com/specialty-care/care-delivery/econsults/
  baseURL: https://api.aristamd.com
  tags:
  - Comments
  properties:
  - type: OpenAPI
    url: openapi/aristamd-comments-api-openapi.yml
  - type: Swagger
    url: https://api.aristamd.com/api-docs
  - type: Authentication
    url: authentication/aristamd-authentication.yml
  - type: ErrorCatalog
    url: errors/aristamd-problem-types.yml
  - type: DataModel
    url: data-model/aristamd-data-model.yml
- aid: aristamd:aristamd-diagnostic-api
  name: AristaMD Diagnostic API
  description: The Diagnostic API from AristaMD — 1 operation(s) for diagnostic.
  humanURL: https://www.aristamd.com/specialty-care/care-delivery/econsults/
  baseURL: https://api.aristamd.com
  tags:
  - Diagnostics
  tags_raw:
  - Diagnostic
  properties:
  - type: OpenAPI
    url: openapi/aristamd-diagnostic-api-openapi.yml
  - type: Swagger
    url: https://api.aristamd.com/api-docs
  - type: Authentication
    url: authentication/aristamd-authentication.yml
  - type: ErrorCatalog
    url: errors/aristamd-problem-types.yml
  - type: DataModel
    url: data-model/aristamd-data-model.yml
- aid: aristamd:aristamd-econsults-api
  name: AristaMD E Consults API
  description: The EConsults API from AristaMD — 7 operation(s) for econsults.
  humanURL: https://www.aristamd.com/specialty-care/care-delivery/econsults/
  baseURL: https://api.aristamd.com
  tags:
  - EConsults
  properties:
  - type: OpenAPI
    url: openapi/aristamd-econsults-api-openapi.yml
  - type: Swagger
    url: https://api.aristamd.com/api-docs
  - type: Authentication
    url: authentication/aristamd-authentication.yml
  - type: ErrorCatalog
    url: errors/aristamd-problem-types.yml
  - type: DataModel
    url: data-model/aristamd-data-model.yml
- aid: aristamd:aristamd-intergy-patients-api
  name: AristaMD Intergy/Patients API
  description: The Intergy/Patients API from AristaMD — 1 operation(s) for intergy/patients.
  humanURL: https://www.aristamd.com/specialty-care/care-delivery/econsults/
  baseURL: https://api.aristamd.com
  tags:
  - Intergy/Patients
  properties:
  - type: OpenAPI
    url: openapi/aristamd-intergy-patients-api-openapi.yml
  - type: Swagger
    url: https://api.aristamd.com/api-docs
  - type: Authentication
    url: authentication/aristamd-authentication.yml
  - type: ErrorCatalog
    url: errors/aristamd-problem-types.yml
  - type: DataModel
    url: data-model/aristamd-data-model.yml
- aid: aristamd:aristamd-panelists-api
  name: AristaMD Panelists API
  description: The Panelists API from AristaMD — 2 operation(s) for panelists.
  humanURL: https://www.aristamd.com/specialty-care/care-delivery/econsults/
  baseURL: https://api.aristamd.com
  tags:
  - Panelists
  properties:
  - type: OpenAPI
    url: openapi/aristamd-panelists-api-openapi.yml
  - type: Swagger
    url: https://api.aristamd.com/api-docs
  - type: Authentication
    url: authentication/aristamd-authentication.yml
  - type: ErrorCatalog
    url: errors/aristamd-problem-types.yml
  - type: DataModel
    url: data-model/aristamd-data-model.yml
- aid: aristamd:aristamd-patients-api
  name: AristaMD Patients API
  description: The Patients API from AristaMD — 7 operation(s) for patients.
  humanURL: https://www.aristamd.com/specialty-care/care-delivery/econsults/
  baseURL: https://api.aristamd.com
  tags:
  - Patients
  properties:
  - type: OpenAPI
    url: openapi/aristamd-patients-api-openapi.yml
  - type: Swagger
    url: https://api.aristamd.com/api-docs
  - type: Authentication
    url: authentication/aristamd-authentication.yml
  - type: ErrorCatalog
    url: errors/aristamd-problem-types.yml
  - type: DataModel
    url: data-model/aristamd-data-model.yml
- aid: aristamd:aristamd-requests-api
  name: AristaMD Requests API
  description: The Requests API from AristaMD — 1 operation(s) for requests.
  humanURL: https://www.aristamd.com/specialty-care/care-delivery/econsults/
  baseURL: https://api.aristamd.com
  tags:
  - Requests
  properties:
  - type: OpenAPI
    url: openapi/aristamd-requests-api-openapi.yml
  - type: Swagger
    url: https://api.aristamd.com/api-docs
  - type: Authentication
    url: authentication/aristamd-authentication.yml
  - type: ErrorCatalog
    url: errors/aristamd-problem-types.yml
  - type: DataModel
    url: data-model/aristamd-data-model.yml
- aid: aristamd:aristamd-reviews-api
  name: AristaMD Reviews API
  description: The Reviews API from AristaMD — 2 operation(s) for reviews.
  humanURL: https://www.aristamd.com/specialty-care/care-delivery/econsults/
  baseURL: https://api.aristamd.com
  tags:
  - Reviews
  properties:
  - type: OpenAPI
    url: openapi/aristamd-reviews-api-openapi.yml
  - type: Swagger
    url: https://api.aristamd.com/api-docs
  - type: Authentication
    url: authentication/aristamd-authentication.yml
  - type: ErrorCatalog
    url: errors/aristamd-problem-types.yml
  - type: DataModel
    url: data-model/aristamd-data-model.yml
- aid: aristamd:aristamd-specialties-api
  name: AristaMD Specialties API
  description: The Specialties API from AristaMD — 3 operation(s) for specialties.
  humanURL: https://www.aristamd.com/specialty-care/care-delivery/econsults/
  baseURL: https://api.aristamd.com
  tags:
  - Specialties
  tags_raw:
  - Specialties
  properties:
  - type: OpenAPI
    url: openapi/aristamd-specialties-api-openapi.yml
  - type: Swagger
    url: https://api.aristamd.com/api-docs
  - type: Authentication
    url: authentication/aristamd-authentication.yml
  - type: ErrorCatalog
    url: errors/aristamd-problem-types.yml
  - type: DataModel
    url: data-model/aristamd-data-model.yml
- aid: aristamd:aristamd-specialty-api
  name: AristaMD Specialty API
  description: The Specialty API from AristaMD — 1 operation(s) for specialty.
  humanURL: https://www.aristamd.com/specialty-care/care-delivery/econsults/
  baseURL: https://api.aristamd.com
  tags:
  - Specialty
  properties:
  - type: OpenAPI
    url: openapi/aristamd-specialty-api-openapi.yml
  - type: Swagger
    url: https://api.aristamd.com/api-docs
  - type: Authentication
    url: authentication/aristamd-authentication.yml
  - type: ErrorCatalog
    url: errors/aristamd-problem-types.yml
  - type: DataModel
    url: data-model/aristamd-data-model.yml
- aid: aristamd:aristamd-users-api
  name: AristaMD Users API
  description: The Users API from AristaMD — 4 operation(s) for users.
  humanURL: https://www.aristamd.com/specialty-care/care-delivery/econsults/
  baseURL: https://api.aristamd.com
  tags:
  - User
  tags_raw:
  - Users
  properties:
  - type: OpenAPI
    url: openapi/aristamd-users-api-openapi.yml
  - type: Swagger
    url: https://api.aristamd.com/api-docs
  - type: Authentication
    url: authentication/aristamd-authentication.yml
  - type: ErrorCatalog
    url: errors/aristamd-problem-types.yml
  - type: DataModel
    url: data-model/aristamd-data-model.yml
- aid: aristamd:aristamd-workup-checklists-api
  name: AristaMD Workup Checklists API
  description: The Workup Checklists API from AristaMD — 3 operation(s) for workup checklists.
  humanURL: https://www.aristamd.com/specialty-care/care-delivery/econsults/
  baseURL: https://api.aristamd.com
  tags:
  - Workup Checklists
  properties:
  - type: OpenAPI
    url: openapi/aristamd-workup-checklists-api-openapi.yml
  - type: Swagger
    url: https://api.aristamd.com/api-docs
  - type: Authentication
    url: authentication/aristamd-authentication.yml
  - type: ErrorCatalog
    url: errors/aristamd-problem-types.yml
  - type: DataModel
    url: data-model/aristamd-data-model.yml
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com
- FN: APIs.json
  email: info@apis.io
common:
- type: CapabilityMap
  url: capabilities/aristamd-capability-edges.yml
  name: AristaMD Business Capability Map
- type: X-MCPServerCandidate
  url: mcp/aristamd-mcp.yml
  note: 'Renamed from MCPServer 2026-09-03 (roadmap#247): the manifest self-describes as status: candidate — a tool list derived
    from the published API contracts, not an existing server. The scorer already read the manifest and reported mcp_server
    correctly; the MCPServer type was crediting the artifact-type surfaces with a server that does not exist.'
- type: Overlay
  url: overlays/aristamd-api-overlay.yaml
- type: Website
  url: https://www.aristamd.com/
- type: SignUp
  url: https://www.aristamd.com/request-demo/
- type: Login
  url: https://app.aristamd.com/login
- type: TermsOfService
  url: https://www.aristamd.com/terms-of-use/
- type: PrivacyPolicy
  url: https://www.aristamd.com/privacy-policy/
- type: Security
  url: https://www.aristamd.com/security/
- type: Compliance
  url: https://www.aristamd.com/security/
- type: TrustCenter
  url: security/aristamd-trust-center.yml
- type: VulnerabilityDisclosure
  url: security/aristamd-vulnerability-disclosure.yml
- type: DomainSecurity
  url: security/aristamd-domain-security.yml
- type: GitHubOrganization
  url: https://github.com/aristamd
- type: Support
  url: https://www.aristamd.com/contact/
- type: Blog
  url: https://www.aristamd.com/thought-leadership/
- type: Authentication
  url: authentication/aristamd-authentication.yml
- type: Conformance
  url: conformance/aristamd-conformance.yml
- type: Conventions
  url: conventions/aristamd-conventions.yml
- type: Lifecycle
  url: lifecycle/aristamd-lifecycle.yml
- type: ErrorCatalog
  url: errors/aristamd-problem-types.yml
- type: DataModel
  url: data-model/aristamd-data-model.yml
- type: Packages
  url: packages/aristamd-packages.yml
- type: LLMsTxt
  url: llms/aristamd-llms.txt
- type: AgentSkill
  url: skills/_index.yml
- type: AgenticAccess
  url: agentic-access/aristamd-agentic-access.yml
x-enrichment:
  date: '2026-08-06'
  status: enriched
  artifacts_added: 18
  pass: local-v1
x-coverage:
  state: covered
  reason: null
  detail: A live Swagger 2.0 contract (32 paths / 42 operations / 26 definitions) was harvested from the API host root at
    https://api.aristamd.com/api-docs, along with a live OAuth 2.0 token endpoint and SAML 2.0 SP metadata. AristaMD has no
    developer portal — the contract sits on the API host with nothing documenting it.
  evidence:
  - url: https://api.aristamd.com/api-docs
    status: 200
  - url: https://api.aristamd.com/saml2/metadata
    status: 200
  - url: https://api.aristamd.com/econsults
    status: 401
  checked: '2026-08-06'

AristaMD API — frequently asked questions

Does AristaMD have an API?

Yes. APIs.io lists 12 APIs from AristaMD, including AristaMD Comments API, AristaMD Diagnostic API and AristaMD E Consults API, and 9 more.

Is there an OpenAPI specification for the AristaMD API?

Yes. APIs.io indexes 12 OpenAPI specifications for AristaMD, each linked for download from this page.

How do I authenticate with the AristaMD API?

AristaMD uses bearer-token authentication (oauth2/saml2 · 2 schemes). The details are profiled on APIs.io as Aristamd Authentication.

Is the AristaMD API ready for AI agents?

AristaMD has a Kin Score of 37.5 out of 100 (thin) and an Agent Readiness score of 17.9 (agent-aware), scored by API Evangelist on 2026-11-06.

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curl "https://apis.io/api/v1/providers/aristamd"

All providers

curl "https://apis.io/api/v1/providers?limit=25"

Every operation they expose

curl "https://apis.io/api/v1/providers/aristamd/operations?limit=25"

How their score was established

curl "https://apis.io/api/v1/providers/aristamd/evidence"

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