Unknown Individual – Hematology & Oncology Physician, NPI 1194744136

Unknown Individual is a healthcare provider. based in Modesto, California. specializing in Hematology & Oncology Physician. They hold a License No. C42923 (CA). The NPI Number for Unknown Individual is 1194744136

Main info

Organization
Inactive
54 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1194744136
Phone
(209) 524-7000
Address
1325 MELROSE AVE
Deactivation Date
23 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2095247000
Graduation Year
1972 (54 years ago)
PAC ID
6406937945
Group Practice PAC ID
1153402698
Professional Enrollment ID
I20080122000776
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

Loading map...

Provider Addresses for Unknown Individual

  • 1325, Melrose Avenue, Modesto, Stanislaus County, California, 95350, United States

    SUITE A

    MODESTO, CA 953505508

    Phone: (209) 524-7000

    Fax: (209) 527-5601

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $473.

Total Amount is formed as General ($473) + Research ($0) + Ownership ($0) = $473.

Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($333).

Total Amount

$473

General + Research + Ownership

Payments

11

Total payment records

General Amount

$473

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-25

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 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 95350)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Hematology & Oncology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
HEMATOLOGY/ONCOLOGYCA96367Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour14315

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check Unknown Individual using NPI 1194744136?
NPI 1194744136 belongs to Unknown Individual; compare other details if you need extra assurance.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Modesto?
Public fields place Unknown Individual around Modesto, California. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

Similar Providers

DAVID H ADKINS (MD)

Hematology & Oncology Physician
600, Coffee Road, Modesto, Stanislaus County, California, 95355, United States
NPI: 1104883644

DAVID A SHIBA (M.D.)

Hematology & Oncology Physician
600, Coffee Road, Modesto, Stanislaus County, California, 95355, United States
NPI: 1255389300

CALIFORNIA CANCER CARE MEDICAL GROUP

Hematology & Oncology Physician
1325, Melrose Avenue, Modesto, Stanislaus County, California, 95350, United States
NPI: 1033163688

MUSSA BANISADRE (MD)

Hematology & Oncology Physician
1325, Melrose Avenue, Modesto, Stanislaus County, California, 95350, United States
NPI: 1043264690

ROBERT LEE LEVY (MD)

Hematology & Oncology Physician
1401, Spanos Court, Modesto, Stanislaus County, California, 95355, United States
NPI: 1568473965

AMARJIT SINGH DHALIWAL (MD)

Hematology & Oncology Physician
1401, Spanos Court, Modesto, Stanislaus County, California, 95355, United States
NPI: 1922019322

VALLEY CANCER MEDICAL GROUP

Hematology & Oncology Physician
1401, Spanos Court, Modesto, Stanislaus County, California, 95355, United States
NPI: 1063500833

BELINDA C. ARK (MD)

Hematology & Oncology Physician
Harrison Street, Chinatown, Oakland, Alameda County, California, 94607, United States
NPI: 1366520272

MEGUMI TOMITA (MD)

Hematology & Oncology Physician
Kaiser Permanente Modesto Medical Center and Medical Offices, 4601, Dale Road, Modesto, Stanislaus County, California, 95356, United States
NPI: 1740354331