{"npi":"1265827802","type":"NPI-1","status":"active","name":{"display":"Gautam Nagendra","other":[],"first":"GAUTAM","last":"NAGENDRA"},"specialty":{"primary_taxonomy":"2080P0206X","primary_taxonomy_description":"Pediatric Gastroenterology Physician","slug":"pediatric-gastroenterology-physician","schema_org_specialty":null,"all":[{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":null,"license":null},{"code":"2080P0206X","description":"Pediatric Gastroenterology Physician","primary":true,"state":"CA","license":"A155780"}]},"addresses":[{"purpose":"LOCATION","street_1":"11234 ANDERSON ST","city":"LOMA LINDA","state":"CA","postal_code":"923542804","country_code":"US","phone":"9095584773"},{"purpose":"MAILING","street_1":"11175 CAMPUS STREET COLEMAN PAVILION CP -A1120","city":"LOMA LINDA","state":"CA","postal_code":"923500001","country_code":"US","phone":"9095584773","fax":"9095580479"}],"license":{"state":"CA","number":"A155780"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210608001217","type_code":"14-10","type_desc":"PRACTITIONER - GASTROENTEROLOGY","state":"CA","pac_id":"3173923463"}]},"enumeration_date":"2015-03-31","last_updated":"2021-10-05","_meta":{"source":"NPPES","snapshot_date":"2021-10-05","doc_url":"https://findmynpi.com/api"}}