Unknown Individual – Internal Medicine Physician, NPI 1104899285

Unknown Individual is a healthcare provider. based in Palm springs, California. specializing in Internal Medicine Physician. They hold a License No. A49800 (CA). The NPI Number for Unknown Individual is 1104899285

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1104899285
Phone
(760) 323-8657
Address
275 N. EL CIELO
Deactivation Date
3 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7603238657
Graduation Year
1980 (46 years ago)
PAC ID
8729167218
Group Practice PAC ID
8123930427
Professional Enrollment ID
I20080508000762
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

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Provider Addresses for Unknown Individual

  • North El Cielo Road, Palm Springs, Riverside County, California, 92262, United States

    PALM SPRINGS, CA 92262

    Phone: (760) 323-8657

    Fax: (760) 318-9083

    Mailing address matches the actual address.

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 92262)

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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: 8123930427View full group profile
NameSpecialtyState
Family PracticeCA
Family PracticeNV
Internal MedicineCA
-CA
Nurse PractitionerCA
Emergency MedicineCA
Cardiovascular Disease (Cardiology)CA
Internal Medicine, Preventive MedicineCA
Emergency MedicineCA
Family PracticeCA

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1104899285.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Palm Springs?
Unknown Individual currently maps to Palm Springs, California in this extract.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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