{"npi":"1245624436","type":"NPI-1","status":"active","name":{"display":"Thomas Johnson M.D.","other":[],"first":"THOMAS","last":"JOHNSON","middle":"EDWARD","credential":"M.D."},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":"CA","license":"A169018"}]},"addresses":[{"purpose":"LOCATION","street_1":"200 W ARBOR DR","city":"SAN DIEGO","state":"CA","postal_code":"921039000","country_code":"US","phone":"8009268273"},{"purpose":"MAILING","street_1":"PO BOX 232410","city":"SAN DIEGO","state":"CA","postal_code":"921932410","country_code":"US"}],"license":{"state":"CA","number":"A169018"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20200729003660","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"CA","pac_id":"1355643156"},{"enrlmt_id":"I20210706003022","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"SD","pac_id":"1355643156"},{"enrlmt_id":"I20211101000562","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"MN","pac_id":"1355643156"}]},"enumeration_date":"2015-03-25","last_updated":"2020-07-22","_meta":{"source":"NPPES","snapshot_date":"2020-07-22","doc_url":"https://findmynpi.com/api"}}