Unknown Individual – Neurology Physician, NPI 1104808914
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Arlington Avenue, Riverside, Riverside County, California, 92506, United States
AVE
RIVERSIDE, CA 925063912
Phone: (951) 782-5110
Fax: (951) 274-0403
Type: Mailing
7117, Brockton Avenue, Riverside, Riverside County, California, 92506, United States
RIVERSIDE, CA 925062615
Phone: (951) 782-6215
Fax: (951) 784-3266
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $37.
Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.
Last reported payment date: 2023-08-23 • Largest payer in this snapshot: Boston Scientific Corporation ($37).
Total Amount
$37
General + Research + Ownership
Payments
2
Total payment records
General Amount
$37
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $37 |
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 92506)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| General Practice | CA | |
| Physician Assistant | CA | |
| Neurology, Osteopathic Manipulative Medicine | CA | |
| N E U R O L O G Y | AZ | |
| Neurology, Internal Medicine | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| N E U R O L O G Y | AZ | |
| N E U R O L O G Y | CA |
Reviews
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