{"npi":"1922560002","type":"NPI-1","status":"active","name":{"display":"Mackenzie Van Loon PA-C","other":[{"code":"1","type":"Formerly known as","value":"LARSEN, MACKENZIE MAE"}],"first":"MACKENZIE","last":"VAN LOON","middle":"MAE","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":false,"state":"CA","license":"58481"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"CA","license":"58481"}]},"addresses":[{"purpose":"LOCATION","street_1":"300 PASTEUR DR","city":"STANFORD","state":"CA","postal_code":"943052200","country_code":"US","phone":"6507234000"},{"purpose":"MAILING","street_1":"300 PASTEUR DR","city":"STANFORD","state":"CA","postal_code":"943052200","country_code":"US","phone":"6507234000"}],"license":{"state":"CA","number":"58481"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20201210002902","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"CA","pac_id":"7719399070"}]},"enumeration_date":"2019-04-05","last_updated":"2025-12-18","_meta":{"source":"NPPES","snapshot_date":"2025-12-18","doc_url":"https://findmynpi.com/api"}}