Unknown Individual – Nephrology Physician, NPI 1194743237
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Stockton Post Office, 401, North San Joaquin Street, Stockton, San Joaquin County, California, 95202, United States
STOCKTON, CA 952013120
Phone: (209) 468-6937
Fax: (209) 468-7042
Type: Mailing
West Hospital Road, French Camp, San Joaquin County, California, 95231, United States
FRENCH CAMP, CA 95231
Phone: (209) 468-6937
Fax: (209) 468-7042
Type: Location
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 $45.
Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.
Last reported payment date: 2023-06-22 • Largest payer in this snapshot: UCB, Inc. ($25).
Total Amount
$45
General + Research + Ownership
Payments
2
Total payment records
General Amount
$45
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| UCB, Inc. | $25 |
| Aurinia Pharma U.S., Inc. | $20 |
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 195 | 34 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 120 | 30 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 36 | 27 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 32 | 20 | $0 |
| 90962 | Dialysis services, 1 physician visit per month (20 years or older) | 19 | 12 | $0 |
Insurance plans in this area (ZIP 95201)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | CA | 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 274 | 73 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Diagnostic Radiology, Interventional Radiology | MA | |
| Diagnostic Radiology | CA | |
| - | CA | |
| Orthopedic Surgery | CA | |
| - | WV | |
| Diagnostic Radiology | CA | |
| - | TX | |
| General Surgery | CA | |
| Interventional Radiology, Diagnostic Radiology | IL |
Reviews
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