Unknown Individual – General Acute Care Hospital, NPI 1184175374

Unknown Individual is a healthcare provider. based in San diego, California. specializing in General Acute Care Hospital. They hold a License No. 95006828 (CA). The NPI Number for Unknown Individual is 1184175374

Main info

Organization
Inactive
10 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1184175374
Phone
(760) 940-7166
Address
8745 AERO DR STE 200
Deactivation Date
28 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7607248411
Graduation Year
2016 (10 years ago)
PAC ID
1153688460
Group Practice PAC ID
8426062027
Professional Enrollment ID
I20180206000897
Data current as of
20 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

  • Aero Drive, San Diego, San Diego County, California, 92124, United States

    SAN DIEGO, CA 921231774

    Phone: (760) 940-7166

    Fax: (760) 940-4084

    Type: Location

  • 650, Barsby Street, Vista, San Diego County, California, 92084, United States

    VISTA, CA 920842525

    Phone: (615) 957-7234

    Type: Mailing

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 92123)

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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: 8426062027View full group profile
NameSpecialtyState
-CA
-CA
Internal MedicineRI
Internal MedicineUT
Internal MedicineCA
-CA
-CA
Internal Medicine, HospitalistCA
Internal MedicineCA
Internal MedicineCA

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1184175374?
NPI 1184175374 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads General Acute Care Hospital. Clinical services aligned with this taxonomy classification.
Where in California is Unknown Individual registered?
Use San Diego, California as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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