{"npi":"1346730751","type":"NPI-1","status":"active","name":{"display":"Sidney Lakusta-Wong","other":[],"first":"SIDNEY","last":"LAKUSTA-WONG"},"specialty":{"primary_taxonomy":"208000000X","primary_taxonomy_description":"Pediatrics","slug":"pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"208000000X","description":"Pediatrics","primary":true,"state":"AZ","license":"68487"},{"code":"208000000X","description":"Pediatrics","primary":false,"state":"CA","license":"A163866"}]},"addresses":[{"purpose":"LOCATION","street_1":"2601 E ROOSEVELT ST","city":"PHOENIX","state":"AZ","postal_code":"850084973","country_code":"US","phone":"6023445011"},{"purpose":"MAILING","street_1":"2929 E THOMAS RD","city":"PHOENIX","state":"AZ","postal_code":"850168034","country_code":"US","phone":"6024705000"}],"license":{"state":"AZ","number":"68487"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230221002730","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"AZ","pac_id":"9133527385"}]},"enumeration_date":"2018-05-11","last_updated":"2023-02-24","_meta":{"source":"NPPES","snapshot_date":"2023-02-24","doc_url":"https://findmynpi.com/api"}}