{"npi":"1164574083","type":"NPI-2","status":"active","name":{"display":"Redwood Pediatric Medical Group","other":[],"organization_name":"REDWOOD PEDIATRIC MEDICAL GROUP","authorised_official":"Shalamar Ivey"},"specialty":{"primary_taxonomy":"174400000X","primary_taxonomy_description":"Specialist","slug":"specialist","schema_org_specialty":null,"all":[{"code":"174400000X","description":"Specialist","primary":true,"state":"CA","license":"G082256"}]},"addresses":[{"purpose":"LOCATION","street_1":"3305 RENNER DR","city":"FORTUNA","state":"CA","postal_code":"955403119","country_code":"US","phone":"7077259355","fax":"7077252426"},{"purpose":"MAILING","street_1":"3305 RENNER DR","city":"FORTUNA","state":"CA","postal_code":"955403119","country_code":"US","fax":"7077252426"}],"license":{"state":"CA","number":"G082256"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20110105001209","type_code":"00-17","type_desc":"PART A PROVIDER - RURAL HEALTH CLINIC","state":"CA","pac_id":"7416146584"}]},"enumeration_date":"2007-01-18","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}