{"npi":"1730166729","type":"NPI-1","status":"active","name":{"display":"Mr. James Cavallaro PA-C","other":[],"first":"JAMES","last":"CAVALLARO","middle":"N","credential":"PA-C"},"specialty":{"primary_taxonomy":"363AS0400X","primary_taxonomy_description":"Surgical Physician Assistant","slug":"surgical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":true,"state":"MN","license":"9864"}]},"addresses":[{"purpose":"LOCATION","street_1":"3931 LOUISIANA AVE S","city":"ST LOUIS PARK","state":"MN","postal_code":"554265000","country_code":"US","phone":"9529933230","fax":"9529937148"},{"purpose":"MAILING","street_1":"3931 LOUISIANA AVE S","city":"ST LOUIS PARK","state":"MN","postal_code":"554265000","country_code":"US","phone":"9529933230","fax":"9529937148"}],"license":{"state":"MN","number":"9864"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"233642100","state":"MN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040414000959","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MN","pac_id":"1658365259"}]},"enumeration_date":"2005-12-29","last_updated":"2019-03-11","_meta":{"source":"NPPES","snapshot_date":"2019-03-11","doc_url":"https://findmynpi.com/api"}}