Unknown Individual – Hematology & Oncology Physician, NPI 1063405082
Hematology & Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
10790, Rancho Bernardo Road, San Diego County, California, 92127, United States
MAIL DROP 4S-205
SAN DIEGO, CA 921275705
Phone: (858) 927-5775
Type: Mailing
North Torrey Pines Road, La Jolla Farms, Torrey Pines, San Diego, San Diego County, California, 92093, United States
LA JOLLA, CA 920371027
Phone: (858) 554-9100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 123 Open Payments records for all available years, with a total value of $23,618.
Total Amount is formed as General ($23,618) + Research ($0) + Ownership ($0) = $23,618.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: ADC Therapeutics America, Inc. ($11,791).
Total Amount
$23,618
General + Research + Ownership
Payments
123
Total payment records
General Amount
$23,618
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ADC Therapeutics America, Inc. | $11,791 |
| Incyte Corporation | $3,363 |
| Gilead Sciences, Inc. | $2,670 |
| ABBVIE INC. | $2,110 |
| TAIHO ONCOLOGY, INC. | $1,406 |
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J9144 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | 29,340 | 25 | $0 |
| J1439 | Injection, ferric carboxymaltose, 1 mg | 12,750 | 11 | $0 |
| J9025 | Injection, azacitidine, 1 mg | 12,615 | 16 | $0 |
| Q5101 | Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram | 12,123 | 12 | $0 |
| J0897 | Injection, denosumab, 1 mg | 9,660 | 20 | $0 |
Insurance plans in this area (ZIP 92127)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| HEMATOLOGY/ONCOLOGY | CA | 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 36 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | CA | |
| - | CA | |
| Family Practice | CA | |
| - | CA | |
| Internal Medicine | CA | |
| Emergency Medicine | CA | |
| Physician Assistant | CA | |
| - | CA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | CA | |
| - | CA |
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