{"npi":"1922018647","type":"NPI-1","status":"active","name":{"display":"Glen Villanueva D.O.","other":[],"first":"GLEN","last":"VILLANUEVA","credential":"D.O."},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"CA","license":"20A6969"}]},"addresses":[{"purpose":"LOCATION","street_1":"600 B ST","city":"LIVINGSTON","state":"CA","postal_code":"953349593","country_code":"US","phone":"2098503500","fax":"2098503499"},{"purpose":"MAILING","street_1":"600 B ST","city":"LIVINGSTON","state":"CA","postal_code":"953349593","country_code":"US","phone":"2098503500","fax":"2098503499"}],"license":{"state":"CA","number":"20A6969"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050825001088","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"CA","pac_id":"3072544345"}]},"enumeration_date":"2006-08-08","last_updated":"2020-05-07","_meta":{"source":"NPPES","snapshot_date":"2020-05-07","doc_url":"https://findmynpi.com/api"}}