Unknown Individual – Diagnostic Radiology Physician, NPI 1003943440

Unknown Individual is a healthcare provider. based in Woodland hills, California. specializing in Diagnostic Radiology Physician. They hold a License No. C32781 (CA). The NPI Number for Unknown Individual is 1003943440

Main info

Organization
Inactive
57 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1003943440
Phone
(805) 375-8800
Address
PO BOX 4313
Deactivation Date
7 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
3104236744
Graduation Year
1969 (57 years ago)
PAC ID
2567540537
Group Practice PAC ID
4981518313
Professional Enrollment ID
I20101118000313
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 4313

    WOODLAND HILLS, CA 913654313

    Phone: (805) 375-8800

    Fax: (805) 375-8900

    Type: Mailing

  • 8700 BEVERLY BLVD

    ROOM M 335

    LOS ANGELES, CA 90048

    Phone: (310) 423-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view3,5602,315$0
74018X-ray of abdomen, 1 view948681$0
72110X-ray of lower and sacral spine, minimum of 4 views233232$0
71046X-ray of chest, 2 views186184$0
74019X-ray of abdomen, 2 views153138$0
View full utilization report →

Insurance plans in this area (ZIP 91365)

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Provider's Procedures

Unknown Individual performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYCA73110X-ray of wrist, minimum of 3 views2321
DIAGNOSTIC RADIOLOGYCA73562X-ray of knee, 3 views1916

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981518313View full group profile
NameSpecialtyState
JASON BERNAR AARONSON (MD)
Diagnostic RadiologyCA
SUDHIR KUNCHALA
Interventional Radiology, Diagnostic Radiology, Nuclear MedicineCA
DR. KEVIN FREDERICK SEALS (M.D.)
Interventional Radiology, Diagnostic RadiologyCA
RICHARD E FULTON (MD)
-CA
DR. MICHAEL D KATZ (M.D.)
Interventional Radiology, Diagnostic RadiologyCA
YANIV RAPHAEL
Diagnostic RadiologyCA
CLAIRE ANNE LIS (MD)
Diagnostic RadiologyCA
DAYLE D ROBSON (MD)
-CA
LILY C. YANG (MD)
-CA
TAL RENCUS (MD)
Diagnostic RadiologyMA

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1003943440 for Unknown Individual, then check state licensing separately.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Woodland Hills, California in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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