Unknown Individual – Cardiovascular Disease Physician, NPI 1114982782

Unknown Individual is a healthcare provider. based in Torrance, California. specializing in Cardiovascular Disease Physician. They hold a License No. G55217 (CA). The NPI Number for Unknown Individual is 1114982782

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1114982782
Phone
(310) 540-6032
Address
3475 TORRANCE BLVD
Deactivation Date
3 April 2024

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1984 (42 years ago)
PAC ID
8921050824
Professional Enrollment ID
I20050218000803
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Torrance Boulevard, Harbor Gateway, Torrance, Los Angeles County, California, 90501, United States

    STE D

    TORRANCE, CA 905035800

    Phone: (310) 540-6032

    Fax: (310) 543-8743

    Type: Mailing

  • D, Airport Drive, Walteria, Torrance, Los Angeles County, California, 90505, United States

    TORRANCE, CA 905035800

    Phone: (310) 540-6032

    Fax: (310) 543-8743

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $932.

Total Amount is formed as General ($932) + Research ($0) + Ownership ($0) = $932.

Last reported payment date: 2024-01-16 • Largest payer in this snapshot: Medtronic, Inc. ($315).

Total Amount

$932

General + Research + Ownership

Payments

40

Total payment records

General Amount

$932

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-16

Latest reported date

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes578155$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes544191$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only528476$0
99215Established patient office or other outpatient visit, 40-54 minutes410269$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes290240$0
View full utilization report →

Insurance plans in this area (ZIP 90503)

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Provider's Procedures

Unknown Individual performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)CA92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin4943
CARDIOVASCULAR DISEASE (CARDIOLOGY)CA93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart11299

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1114982782 for Unknown Individual, then check state licensing separately.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Torrance, California as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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Unknown Individual

Cardiovascular Disease Physician
4201, Torrance Boulevard, Torrance, Los Angeles County, California, 90503, United States
NPI: 1275504607

Unknown Individual

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21840 NORMANDIE AVE
NPI: 1962475541