{"npi":"1639487002","type":"NPI-2","status":"active","name":{"display":"Jeffrey P. Lake, M.D., Inc.","other":[],"organization_name":"JEFFREY P. LAKE, M.D., INC.","authorised_official":"Jeffrey Lake"},"specialty":{"primary_taxonomy":"208C00000X","primary_taxonomy_description":"Colon & Rectal Surgery Physician","slug":"colon-rectal-surgery-physician","schema_org_specialty":null,"all":[{"code":"208C00000X","description":"Colon & Rectal Surgery Physician","primary":true,"state":"CA","license":"A73315"}]},"addresses":[{"purpose":"LOCATION","street_1":"16311 VENTURA BLVD","city":"ENCINO","state":"CA","postal_code":"914362124","country_code":"US","street_2":"SUITE 505","phone":"8183878725"},{"purpose":"MAILING","street_1":"16311 VENTURA BLVD","city":"ENCINO","state":"CA","postal_code":"914362124","country_code":"US","street_2":"SUITE 505","phone":"8183878725"}],"license":{"state":"CA","number":"A73315"},"identifiers":[{"type_code":"01","label":"Other","value":"WA73315A","state":null,"issuer":"MEDICARE PPIN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20101230000911","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"4587852868"}]},"enumeration_date":"2010-09-20","last_updated":"2010-11-16","_meta":{"source":"NPPES","snapshot_date":"2010-11-16","doc_url":"https://findmynpi.com/api"}}