Unknown Individual – Family Medicine Physician, NPI 1184859480

Unknown Individual is a healthcare provider. based in Merced, California. specializing in Family Medicine Physician. They hold a License No. A107616 (CA). The NPI Number for Unknown Individual is 1184859480

Main info

Organization
Inactive
21 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1184859480
Phone
(209) 385-7060
Address
315 E 13TH ST
Deactivation Date
3 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2095266400
Graduation Year
2005 (21 years ago)
PAC ID
2163578857
Group Practice PAC ID
3476899139
Professional Enrollment ID
I20090922000397
Data current as of
20 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

  • 315, East 13th Street, Merced, Merced County, California, 95341, United States

    MERCED, CA 953416211

    Phone: (209) 385-7060

    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 $0.

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

Last reported payment date: • Largest payer in this snapshot: BrainScope Company, Inc. ($0).

Total Amount

$0

General + Research + Ownership

Payments

2

Total payment records

General Amount

$0

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

2

Ownership records

Last Payment Date

Latest reported date

Top Companies

Largest payers in this snapshot

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
99285Emergency department visit with high level of medical decision making348327$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only273245$0
99284Emergency department visit with moderate level of medical decision making188174$0
99213Established patient office or other outpatient visit, 20-29 minutes16588$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes117113$0
View full utilization report →

Insurance plans in this area (ZIP 95341)

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Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINECA36556Insertion of central venous catheter for infusion, patient 5 years or older1616

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: 3476899139View full group profile

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 1184859480 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.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Merced, California?
If you are local to Merced, 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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