Unknown Individual – Clinical Cardiac Electrophysiology Physician, NPI 1124176110

Unknown Individual is a healthcare provider. based in Salinas, California. specializing in Clinical Cardiac Electrophysiology Physician. They hold a License No. A84248 (CA). The NPI Number for Unknown Individual is 1124176110

Main info

Organization
Inactive
35 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1124176110
Phone
(831) 758-2100
Address
230 SAN JOSE ST
Deactivation Date
9 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8317572058
Graduation Year
1991 (35 years ago)
PAC ID
4486698354
Group Practice PAC ID
1456592351
Professional Enrollment ID
I20050613000772
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

  • 230, San Jose Street, Los Palos Medical Village, Salinas, Monterey County, California, 93901, United States

    SALINAS, CA 939013901

    Phone: (831) 758-2100

    Fax: (831) 758-1565

    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 421 Open Payments records for all available years, with a total value of $11,712.

Total Amount is formed as General ($11,712) + Research ($0) + Ownership ($0) = $11,712.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Medtronic, Inc. ($6,932).

Total Amount

$11,712

General + Research + Ownership

Payments

421

Total payment records

General Amount

$11,712

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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
99214Established patient office or other outpatient visit, 30-39 minutes921566$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only905651$0
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days806254$0
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days580188$0
85610Blood test, clotting time49946$0
View full utilization report →

Insurance plans in this area (ZIP 93901)

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Provider's Procedures

Unknown Individual performs procedures in Clinical Cardiac Electrophysiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIAC ELECTROPHYSIOLOGYCA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies1414
CARDIAC ELECTROPHYSIOLOGYCA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report20081431

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: 1456592351View full group profile
NameSpecialtyState
Physician AssistantCA
Orthopedic SurgeryCA
Hospitalist, Family PracticeCA
Thoracic Surgery, General SurgeryCA
Hospitalist, Internal MedicineAZ
-CA
-CA
-CA
Physician AssistantCA
Infectious DiseaseCA

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1124176110 for Unknown Individual.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Clinical Cardiac Electrophysiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Salinas, California?
If you are local to Salinas, California, Unknown Individual may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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