{"npi":"1497202113","type":"NPI-1","status":"active","name":{"display":"Tracy Fan","other":[],"first":"TRACY","last":"FAN"},"specialty":{"primary_taxonomy":"367500000X","primary_taxonomy_description":"Certified Registered Nurse Anesthetist","slug":"certified-registered-nurse-anesthetist","schema_org_specialty":null,"all":[{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"CA","license":"95040063"}]},"addresses":[{"purpose":"LOCATION","street_1":"700 LAWRENCE EXPY","city":"SANTA CLARA","state":"CA","postal_code":"950515173","country_code":"US","phone":"4088511000"},{"purpose":"MAILING","street_1":"700 LAWRENCE EXPY","city":"SANTA CLARA","state":"CA","postal_code":"950515173","country_code":"US"}],"license":{"state":"CA","number":"95040063"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170127002421","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"CA","pac_id":"1951683879"}]},"enumeration_date":"2016-09-11","last_updated":"2022-01-03","_meta":{"source":"NPPES","snapshot_date":"2022-01-03","doc_url":"https://findmynpi.com/api"}}