{"npi":"1467584532","type":"NPI-1","status":"active","name":{"display":"Wayne Dewri Physician Assistant","other":[],"first":"WAYNE","last":"DEWRI","middle":"T.","credential":"PHYSICIAN ASSISTANT"},"specialty":{"primary_taxonomy":"204D00000X","primary_taxonomy_description":"Neuromusculoskeletal Medicine & OMM Physician","slug":"neuromusculoskeletal-medicine-omm-physician","schema_org_specialty":null,"all":[{"code":"204D00000X","description":"Neuromusculoskeletal Medicine & OMM Physician","primary":true,"state":"CA","license":"PA 18316"},{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"CA","license":"PA18316"}]},"addresses":[{"purpose":"LOCATION","street_1":"10430 RHONDDA ST","city":"REDLANDS","state":"CA","postal_code":"923742881","country_code":"US","phone":"9097968206"},{"purpose":"MAILING","street_1":"PO BOX 1918","city":"LOMA LINDA","state":"CA","postal_code":"923540599","country_code":"US","phone":"9097997813","fax":"9097968973"}],"license":{"state":"CA","number":"PA 18316"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1467584532","state":"CA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20081204000107","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"CA","pac_id":"6406917830"}]},"enumeration_date":"2007-03-12","last_updated":"2009-12-07","_meta":{"source":"NPPES","snapshot_date":"2009-12-07","doc_url":"https://findmynpi.com/api"}}