Unknown Individual – Internal Medicine Physician, NPI 1194941724

Unknown Individual is a healthcare provider. based in Valencia, California. specializing in Internal Medicine Physician. They hold a License No. G18076 (CA). The NPI Number for Unknown Individual is 1194941724

Main info

Organization
Inactive
63 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1194941724
Phone
(661) 255-6095
Address
24063 REGENTS PARK CIRCLE
Deactivation Date
8 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3239440949
Graduation Year
1963 (63 years ago)
PAC ID
7810143591
Group Practice PAC ID
7012177025
Professional Enrollment ID
I20180905001894
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 24063 REGENTS PARK CIRCLE

    VALENCIA, CA 913552026

    Phone: (661) 255-6095

    Type: Mailing

  • 24063 REGENTS PARK CIR

    VALENCIA, CA 913552026

    Phone: (661) 255-6095

    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 $224.

Total Amount is formed as General ($224) + Research ($0) + Ownership ($0) = $224.

Last reported payment date: 2023-06-15 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($113).

Total Amount

$224

General + Research + Ownership

Payments

2

Total payment records

General Amount

$224

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-15

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91355)

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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: 7012177025View full group profile
NameSpecialtyState
Emergency MedicineCA
-CA
Nurse PractitionerCA
Family Practice, General Practice, Internal MedicineCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1194941724.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Valencia, California; more addresses can appear in NPPES.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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