{"npi":"1245809557","type":"NPI-1","status":"active","name":{"display":"Reginald Crisostomo Agacnp-Bc","other":[],"first":"REGINALD","last":"CRISOSTOMO","credential":"AGACNP-BC"},"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":"95017567"},{"code":"363LA2100X","description":"Acute Care Nurse Practitioner","primary":true,"state":"CA","license":"95017567"}]},"addresses":[{"purpose":"LOCATION","street_1":"1000 TRANCAS ST","city":"NAPA","state":"CA","postal_code":"945582906","country_code":"US","phone":"7072524412"},{"purpose":"MAILING","street_1":"1300 ETHAN WAY STE 600","city":"SACRAMENTO","state":"CA","postal_code":"958252296","country_code":"US","phone":"9164827623"}],"license":{"state":"CA","number":"95017567"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0000","state":"CA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220314001582","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"CA","pac_id":"1254726052"}]},"enumeration_date":"2021-06-21","last_updated":"2022-08-15","_meta":{"source":"NPPES","snapshot_date":"2022-08-15","doc_url":"https://findmynpi.com/api"}}