{"npi":"1053744896","type":"NPI-2","status":"active","name":{"display":"Andrea Willey MD A Professional Medical Corporation","other":[],"organization_name":"ANDREA WILLEY MD A PROFESSIONAL MEDICAL CORPORATION","authorised_official":"Andrea Willey"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":"CA","license":"A75733"}]},"addresses":[{"purpose":"LOCATION","street_1":"2277 FAIR OAKS BLVD","city":"SACRAMENTO","state":"CA","postal_code":"958255533","country_code":"US","street_2":"SUITE 402","phone":"9169227546"},{"purpose":"MAILING","street_1":"2277 FAIR OAKS BLVD","city":"SACRAMENTO","state":"CA","postal_code":"958255533","country_code":"US","street_2":"SUITE 402","phone":"9169227546"}],"license":{"state":"CA","number":"A75733"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20140203000611","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"5092944579"}]},"enumeration_date":"2013-08-15","last_updated":"2013-08-15","_meta":{"source":"NPPES","snapshot_date":"2013-08-15","doc_url":"https://findmynpi.com/api"}}