Unknown Individual – Anesthesiology Physician, NPI 1053391235

Unknown Individual is a healthcare provider. based in Ukiah, California. specializing in Anesthesiology Physician. They hold a License No. G32706 (CA). The NPI Number for Unknown Individual is 1053391235

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1053391235
Phone
(707) 972-4662
Address
PO BOX 365
Deactivation Date
7 February 2024

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7074623111
Graduation Year
1974 (52 years ago)
PAC ID
2668561929
Group Practice PAC ID
0840626040
Professional Enrollment ID
I20071210000279
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

  • PO BOX 365

    UKIAH, CA 954820365

    Phone: (707) 972-4662

    Type: Mailing

  • Adventist Health Ukiah Valley, 275, Hospital Drive, Downtown Ukiah, Ukiah, Mendocino County, California, 95482, United States

    UKIAH, CA 954824531

    Phone: (707) 462-3111

    Type: Location

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery2827$0
00812Anesthesia for exam of colon using an endoscope2323$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2020$0
00811Anesthesia for other procedure on large bowel using an endoscope1616$0
View full utilization report →

Insurance plans in this area (ZIP 95482)

Loading plans...

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 surgery7878

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: 0840626040View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NV
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)CA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA

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

What identifier follows Unknown Individual across health systems?
The NPI 1053391235 uniquely identifies Unknown Individual in U.S. healthcare data.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Ukiah, California in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

Similar Providers

DR. FREDERICK A LODGE (M.D.)

Anesthesiology Physician
580, North Spring Street, Westside, Ukiah, Mendocino County, California, 95482, United States
NPI: 1790770428

EARL CHRISTOPHER OUTLUND (MD)

Anesthesiology Physician
1241 EL DORADO RD
NPI: 1154373645

RONALD E GUTH (M.D.)

Anesthesiology Physician
585, West College Avenue, Santa Rosa, Sonoma County, California, 95401, United States
NPI: 1720016439

MR. MATTHEW P HARPER (M.D.)

Anesthesiology Physician
Adventist Health Ukiah Valley, 275, Hospital Drive, Wagenseller, Ukiah, Mendocino County, California, 95482, United States
NPI: 1427165877

Unknown Individual

Anesthesiology Physician
PO BOX 365
NPI: 1184741647

RONALD E. GUTH M. D. INC.

Anesthesiology Physician
1285 VISTA VERDE RD
NPI: 1942577523

UKIAH VALLEY ANESTHESIA SERVICES

Anesthesiology Physician
509 KENNWOOD DR
NPI: 1780938480
4012 POLLED HEREFORD DR
NPI: 1376071282
Box, Poststraße, Troisdorf-Mitte, Troisdorf, Rhein-Sieg-Kreis, North Rhine-Westphalia, 53840, Germany
NPI: 1003458704