{"npi":"1104336833","type":"NPI-1","status":"active","name":{"display":"Lara Camille De Leon NP","other":[{"code":"1","type":"Formerly known as","value":"CRUZ, LARA CAMILLE"}],"first":"LARA CAMILLE","last":"DE LEON","middle":"SIMAN","credential":"NP"},"specialty":{"primary_taxonomy":"363LA2100X","primary_taxonomy_description":"Acute Care Nurse Practitioner","slug":"acute-care-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"CA","license":"796719"},{"code":"363LA2100X","description":"Acute Care Nurse Practitioner","primary":true,"state":"CA","license":"95007024"}]},"addresses":[{"purpose":"LOCATION","street_1":"757 WESTWOOD PLZ","city":"LOS ANGELES","state":"CA","postal_code":"900952716","country_code":"US","phone":"3108259111"},{"purpose":"MAILING","street_1":"5767 W CENTURY BLVD STE 400","city":"LOS ANGELES","state":"CA","postal_code":"900455631","country_code":"US"}],"license":{"state":"CA","number":"95007024"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20191009003274","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"CA","pac_id":"5092046847"}]},"enumeration_date":"2017-10-09","last_updated":"2021-08-18","_meta":{"source":"NPPES","snapshot_date":"2021-08-18","doc_url":"https://findmynpi.com/api"}}