{"npi":"1053614404","type":"NPI-2","status":"active","name":{"display":"Selena Anne Lantry, M.D., INC","other":[],"organization_name":"SELENA ANNE LANTRY, M.D., INC","authorised_official":"Selena Lantry"},"specialty":{"primary_taxonomy":"174400000X","primary_taxonomy_description":"Specialist","slug":"specialist","schema_org_specialty":null,"all":[{"code":"174400000X","description":"Specialist","primary":true,"state":"CA","license":"G55968"}]},"addresses":[{"purpose":"LOCATION","street_1":"1505 WILSON TER STE 130","city":"GLENDALE","state":"CA","postal_code":"912064074","country_code":"US","phone":"8182472164"},{"purpose":"MAILING","street_1":"1505 WILSON TER STE 130","city":"GLENDALE","state":"CA","postal_code":"912064074","country_code":"US"}],"license":{"state":"CA","number":"G55968"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00G559681","state":"CA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20120426000364","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"8527220102"}]},"enumeration_date":"2010-12-07","last_updated":"2010-12-07","_meta":{"source":"NPPES","snapshot_date":"2010-12-07","doc_url":"https://findmynpi.com/api"}}