Unknown Individual – Family Nurse Practitioner, NPI 1013286558

Unknown Individual is a healthcare provider. based in Redondo beach, California. specializing in Family Nurse Practitioner. They hold a License No. RN511329 NP21224 (CA). The NPI Number for Unknown Individual is 1013286558

Main info

Organization
Inactive
15 Years Of Experience
Name
Unknown Individual
NPI
1013286558
Phone
(310) 748-5698
Address
403 ANITA ST
Deactivation Date
6 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3105407676
Graduation Year
2011 (15 years ago)
PAC ID
8527221621
Group Practice PAC ID
2163329822
Professional Enrollment ID
I20120530000493
Data current as of
20 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

  • 403 ANITA ST

    REDONDO BEACH, CA 902784702

    Phone: (310) 748-5698

    Type: Mailing

  • 4101 TORRANCE BLVD

    TORRANCE, CA 905034607

    Phone: (310) 540-7676

    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
99285Emergency department visit with high level of medical decision making3737$0
99284Emergency department visit with moderate level of medical decision making1717$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1212$0
View full utilization report →

Insurance plans in this area (ZIP 90278)

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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: 2163329822View full group profile
NameSpecialtyState
Emergency Medicine, Pediatric MedicineAZ
Emergency Medicine, Family PracticeCA
Emergency MedicineOK
Emergency MedicineCA
-CA
Nurse PractitionerCA
Emergency MedicineCA
Emergency MedicineHI
Emergency MedicineCA
Emergency MedicineOK

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1013286558?
NPI 1013286558 belongs to Unknown Individual; compare other details if you need extra assurance.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Redondo Beach, California.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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