{"npi":"1467519629","type":"NPI-2","status":"active","name":{"display":"Michael H. Fenn, M.D., Inc.","other":[],"organization_name":"MICHAEL H. FENN, M.D., INC.","authorised_official":"Michael Fenn"},"specialty":{"primary_taxonomy":"207Y00000X","primary_taxonomy_description":"Otolaryngology Physician","slug":"otolaryngology-physician","schema_org_specialty":null,"all":[{"code":"207Y00000X","description":"Otolaryngology Physician","primary":true,"state":"CA","license":"G17188"}]},"addresses":[{"purpose":"LOCATION","street_1":"5565 GROSSMONT CENTER DR STE 352","city":"LA MESA","state":"CA","postal_code":"919423027","country_code":"US","phone":"6194660048"},{"purpose":"MAILING","street_1":"5565 GROSSMONT CENTER DR STE 352","city":"LA MESA","state":"CA","postal_code":"919423027","country_code":"US","phone":"6194660048"}],"license":{"state":"CA","number":"G17188"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00G171880","state":"CA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-01-03","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}