Unknown Individual – Psychologist, NPI 1043461114

Unknown Individual is a healthcare provider. based in Delhi, California. specializing in Psychologist. They hold a License No. 17304 (CA). The NPI Number for Unknown Individual is 1043461114

Main info

Organization
Inactive
40 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1043461114
Phone
(209) 667-0702
Address
9696 STEPHENS ST
Deactivation Date
24 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2096670702
Graduation Year
1986 (40 years ago)
PAC ID
0042252256
Group Practice PAC ID
4789678111
Professional Enrollment ID
I20050527000365
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

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Provider Addresses for Unknown Individual

  • Dehli Medical Clinic, 9696, Stephens Street, Delhi, Merced County, California, 95315, United States

    DELHI, CA 953159550

    Phone: (209) 667-0702

    Fax: (209) 667-6737

    Type: Location

  • PO BOX 3768

    MERCED, CA 953443768

    Phone: (209) 725-7149

    Fax: (209) 726-0134

    Type: Mailing

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 95315)

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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: 4789678111View full group profile
NameSpecialtyState
Family PracticeCA
-CA
-CA
Family Practice, Geriatric MedicineCA
Family PracticeCA
Family PracticeCA
P O D I A T R YCA
Family PracticeCA
Clinical Social WorkerCA
Family PracticeCA

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1043461114 when you need to reference Unknown Individual in forms, claims, or directories.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in California?
You will see Delhi, California on file for Unknown Individual alongside any extra practice locations.
What if Delhi, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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