{"npi":"1699103804","type":"NPI-1","status":"active","name":{"display":"Nicholas Fedor PA-C","other":[],"first":"NICHOLAS","last":"FEDOR","middle":"PETER","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":null,"license":"2427"}]},"addresses":[{"purpose":"LOCATION","street_1":"1907 BORDER AVE","city":"TORRANCE","state":"CA","postal_code":"905013606","country_code":"US","phone":"8444436246","fax":"8339072235"},{"purpose":"MAILING","street_1":"PO BOX 1008","city":"LENOIR CITY","state":"TN","postal_code":"377711008","country_code":"US","phone":"8659883666"}],"license":{"state":null,"number":"2427"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20131219001101","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"TN","pac_id":"9537396536"},{"enrlmt_id":"I20240424000328","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"DC","pac_id":"9537396536"},{"enrlmt_id":"I20240426003408","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"VA","pac_id":"9537396536"},{"enrlmt_id":"I20240516000916","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"CO","pac_id":"9537396536"},{"enrlmt_id":"I20240710002041","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NC","pac_id":"9537396536"},{"enrlmt_id":"I20240816000891","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"AZ","pac_id":"9537396536"},{"enrlmt_id":"I20241003001578","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"TX","pac_id":"9537396536"},{"enrlmt_id":"I20250114003098","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"CA","pac_id":"9537396536"},{"enrlmt_id":"I20250116001208","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NY","pac_id":"9537396536"},{"enrlmt_id":"I20251006000407","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MI","pac_id":"9537396536"},{"enrlmt_id":"I20251203004531","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NJ","pac_id":"9537396536"}]},"enumeration_date":"2013-10-24","last_updated":"2026-01-13","_meta":{"source":"NPPES","snapshot_date":"2026-01-13","doc_url":"https://findmynpi.com/api"}}