{"npi":"1790770428","type":"NPI-1","status":"active","name":{"display":"Dr. Frederick Lodge M.D.","other":[],"first":"FREDERICK","last":"LODGE","middle":"A","credential":"M.D."},"specialty":{"primary_taxonomy":"207L00000X","primary_taxonomy_description":"Anesthesiology","slug":"anesthesiology","schema_org_specialty":"Anesthesia","all":[{"code":"174400000X","description":"Specialist","primary":false,"state":"CA","license":"G57207"},{"code":"207L00000X","description":"Anesthesiology","primary":true,"state":"CA","license":"00G572072"}]},"addresses":[{"purpose":"LOCATION","street_1":"580 N SPRING ST","city":"UKIAH","state":"CA","postal_code":"954824251","country_code":"US","phone":"7074685015","fax":"7074685015"},{"purpose":"MAILING","street_1":"PO BOX 492680","city":"REDDING","state":"CA","postal_code":"960492680","country_code":"US","phone":"5302430440","fax":"5302430445"}],"license":{"state":"CA","number":"00G572072"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"YYY20507Y","state":"CA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20060124000384","type_code":"14-05","type_desc":"PRACTITIONER - ANESTHESIOLOGY","state":"CA","pac_id":"0345264859"}]},"enumeration_date":"2005-09-19","last_updated":"2010-07-30","_meta":{"source":"NPPES","snapshot_date":"2010-07-30","doc_url":"https://findmynpi.com/api"}}