Unknown Individual – Anesthesiology Physician, NPI 1023052560

Unknown Individual is a healthcare provider. based in San francisco, California. specializing in Anesthesiology Physician. They hold a License No. G40816 (CA). The NPI Number for Unknown Individual is 1023052560

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1023052560
Phone
Not provided
Address
PO BOX 7793
Deactivation Date
28 June 2023

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9259393000
Graduation Year
1978 (48 years ago)
PAC ID
0042372757
Group Practice PAC ID
9436056785
Professional Enrollment ID
I20081215000156
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

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Provider Addresses for Unknown Individual

  • San Francisco Post Office, 1300, Evans Avenue, Bayview District, San Francisco, California, 94188, United States

    SAN FRANCISCO, CA 941207793

    Phone:

    Type: Mailing

  • 1601, Ygnacio Valley Road, Walnut Creek, Contra Costa County, California, 94598, United States

    WALNUT CREEK, CA 945983122

    Phone: (925) 939-3000

    Fax: (925) 947-5286

    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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94120)

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Provider's Procedures

Unknown Individual performs procedures in Anesthesiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYCA00142Anesthesia for lens surgery1414
ANESTHESIOLOGYCA76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1212

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: 9436056785View full group profile

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1023052560.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Anesthesiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to San Francisco, California in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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