Unknown Individual – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1023090784

Unknown Individual is a healthcare provider. based in Los angeles, California. specializing in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. They hold a License No. A25613 (CA). The NPI Number for Unknown Individual is 1023090784

Main info

Organization
Inactive
66 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1023090784
Phone
(213) 639-2200
Address
2200 W 3RD ST
Deactivation Date
24 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1960 (66 years ago)
PAC ID
8527057207
Professional Enrollment ID
I20101108000660
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

Loading map...

Provider Addresses for Unknown Individual

  • West 3rd Street, Gallery Row, Downtown, Los Angeles, Los Angeles County, California, 90013, United States

    SUITE 300

    LOS ANGELES, CA 900571932

    Phone: (213) 639-2200

    Fax: (213) 368-7739

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 90057)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIAC SURGERYCA33533Heart artery bypass to repair one artery1818

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1023090784.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Los Angeles, California in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

Similar Providers

DR. HERVE J. DUMONT (M.D.)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Vermont Avenue, Vermont Vista, Los Angeles, Los Angeles County, California, 90047-4899, United States
NPI: 1982608238

SCOT A BREWSTER (MD)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Box, Lago del Salado, Los Angeles, San Nicolás de los Garza, Nuevo León, 66477, Mexico
NPI: 1568469815
227 W JANSS RD STE 340
NPI: 1245237379
1400, Ambassador Street, Pico-Robertson, Los Angeles, Los Angeles County, California, 90035, United States
NPI: 1679570527

ALI GHEISSARI (M.D.)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Wilshire Boulevard, Financial District, Downtown, Los Angeles, Los Angeles County, California, 90025, United States
NPI: 1376545269

DR. ELI RALPH CAPOUYA (M.D.)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Wilshire Boulevard, Financial District, Downtown, Los Angeles, Los Angeles County, California, 90025, United States
NPI: 1184626061

DR. ROBERT JOHN GOTTNER (M.D.)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Wilshire Boulevard, Financial District, Downtown, Los Angeles, Los Angeles County, California, 90025, United States
NPI: 1295737179

ADVANCED CARDIOTHORACIC SURGERY MEDICAL GROUP, INC.

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Wilshire Boulevard, Financial District, Downtown, Los Angeles, Los Angeles County, California, 90025, United States
NPI: 1104818715

DR. MICHAEL YUECHIA CHANG (MD, MPH)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
West Sunset Boulevard, Sunset Strip, West Hollywood, Los Angeles County, California, 90069, United States
NPI: 1881681914