Unknown Individual – Diagnostic Radiology Physician, NPI 1063473429
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 232410
SAN DIEGO, CA 921932410
Phone:
Type: Mailing
UC San Diego Medical Center, 200, West Arbor Drive, Hillcrest, San Diego, San Diego County, California, 92103, United States
SAN DIEGO, CA 921039000
Phone: (800) 926-8273
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $134.
Total Amount is formed as General ($134) + Research ($0) + Ownership ($0) = $134.
Last reported payment date: 2023-02-10 • Largest payer in this snapshot: Relievant Medsystems, Inc. ($134).
Total Amount
$134
General + Research + Ownership
Payments
1
Total payment records
General Amount
$134
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Relievant Medsystems, Inc. | $134 |
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.
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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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 159 | 150 | $0 |
| 70450 | Ct scan head or brain without contrast | 44 | 44 | $0 |
| 71046 | X-ray of chest, 2 views | 35 | 35 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 14 | 14 | $0 |
| 72125 | Ct scan of upper spine without contrast | 12 | 12 | $0 |
Insurance plans in this area (ZIP 92193)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | CA | 73110 | X-ray of wrist, minimum of 3 views | 12 | 12 |
| DIAGNOSTIC RADIOLOGY | CA | 73562 | X-ray of knee, 3 views | 43 | 39 |
| DIAGNOSTIC RADIOLOGY | CA | 73630 | X-ray of foot, minimum of 3 views | 37 | 34 |
| DIAGNOSTIC RADIOLOGY | CA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 49 | 49 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| Diagnostic Radiology, Interventional Cardiology | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology, Interventional Radiology | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | CA | |
| Interventional Radiology, Diagnostic Radiology | CA |
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