Unknown Individual – Advanced Heart Failure and Transplant Cardiology Physician, NPI 1104914944

Unknown Individual is a healthcare provider. based in Beverly hills, California. specializing in Advanced Heart Failure and Transplant Cardiology Physician. They hold a License No. A56000 (CA). The NPI Number for Unknown Individual is 1104914944

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1104914944
Phone
(310) 248-8200
Address
8536 WILSHIRE BLVD
Deactivation Date
17 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3102488200
Graduation Year
1996 (30 years ago)
PAC ID
6608991567
Group Practice PAC ID
0941106645
Professional Enrollment ID
I20100915000655
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Wilshire Boulevard, Beverly Hills, Los Angeles County, California, 90048, United States

    3RD FLOOR

    BEVERLY HILLS, CA 902113103

    Phone: (310) 248-8200

    Fax: (310) 248-8333

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $7,143.

Total Amount is formed as General ($7,143) + Research ($0) + Ownership ($0) = $7,143.

Last reported payment date: 2024-01-10 • Largest payer in this snapshot: PFIZER INC. ($7,126).

Total Amount

$7,143

General + Research + Ownership

Payments

2

Total payment records

General Amount

$7,143

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$7,126
Gilead Sciences, Inc.$18
View all Open Payments →|Open Payments Risk Radar →

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 90211)

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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: 0941106645View full group profile
NameSpecialtyState
P A T H O L O G YNY
A N E S T H E S I O L O G YNV
-CA
-CA
-CA
H O S P I T A L I S TCA
Infectious DiseaseCA
Plastic And Reconstructive SurgeryCA
Physical Therapist In Private PracticeCA
Hospitalist, Internal MedicineCA

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1104914944 when you need to reference Unknown Individual in forms, claims, or directories.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Advanced Heart Failure and Transplant Cardiology Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Beverly Hills, California because that is what the record indicates for Unknown Individual.
What if Beverly Hills, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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