Unknown Individual – Podiatrist, NPI 1174601264

Unknown Individual is a healthcare provider. based in Livermore, California. specializing in Podiatrist. They hold a License No. E2942 (CA). The NPI Number for Unknown Individual is 1174601264

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1174601264
Phone
(925) 455-1555
Address
1050 MURRIETA BLVD
Deactivation Date
26 February 2026

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
2098354276
Graduation Year
1982 (44 years ago)
PAC ID
3476718933
Group Practice PAC ID
0143246686
Professional Enrollment ID
I20120706000464
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

  • 1050, Murrieta Boulevard, Livermore, Alameda County, California, 94550, United States

    LIVERMORE, CA 945504111

    Phone: (925) 455-1555

    Fax: (925) 292-7592

    Type: Mailing

  • Moraga Road, Lafayette, Contra Costa County, California, 94556, United States

    LAFAYETTE, CA 945494591

    Phone: (925) 962-9120

    Fax: (925) 962-9122

    Type: Location

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0127Trimming of dystrophic nails, any number744243$0
11720Removal of fingernails or toenails, 1-5 nails708227$0
99213Established patient office or other outpatient visit, 20-29 minutes496217$0
11055Removal of noncancer thickened skin growth, 1 growth340117$0
11721Removal of fingernails or toenails, 6 or more nails12850$0
View full utilization report →

Insurance plans in this area (ZIP 94550)

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Provider's Procedures

Unknown Individual performs procedures in Podiatrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYCA11720Removal of tissue from 1 to 5 finger or toe nails13378

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: 0143246686View full group profile
NameSpecialtyState
P O D I A T R YCA
P O D I A T R YCA
P O D I A T R YCA

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1174601264.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Podiatrist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in California?
You will see Livermore, California on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1174601264. Always confirm identity and privileges with the practice and licensing boards.

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