{"npi":"1083876643","type":"NPI-1","status":"active","name":{"display":"Lenore Reeva Youssefi M.D.","other":[{"code":"1","type":"Formerly known as","value":"SIMANGAN, LENORE REEVA C"}],"first":"LENORE REEVA","last":"YOUSSEFI","middle":"CS","credential":"M.D."},"specialty":{"primary_taxonomy":"208000000X","primary_taxonomy_description":"Pediatrics","slug":"pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"208000000X","description":"Pediatrics","primary":false,"state":"NH","license":"17235"},{"code":"208000000X","description":"Pediatrics","primary":true,"state":"CA","license":"A121519"}]},"addresses":[{"purpose":"LOCATION","street_1":"2575 E. BIDWELL STREET","city":"FOLSOM","state":"CA","postal_code":"95630","country_code":"US","street_2":"SUITE 250","phone":"9168173700","fax":"9168173721"},{"purpose":"MAILING","street_1":"10470 OLD PLACERVILLE ROAD","city":"SACRAMENTO","state":"CA","postal_code":"958272539","country_code":"US","street_2":"SUITE 100","phone":"8004700071"}],"license":{"state":"CA","number":"A121519"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20120824000724","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"CA","pac_id":"9638326770"}]},"enumeration_date":"2008-06-25","last_updated":"2022-07-21","_meta":{"source":"NPPES","snapshot_date":"2022-07-21","doc_url":"https://findmynpi.com/api"}}