Unknown Individual – Emergency Medicine Physician, NPI 1255374187

Unknown Individual is a healthcare provider. based in Santa ana, California. specializing in Emergency Medicine Physician. They hold a License No. A86064 (CA). The NPI Number for Unknown Individual is 1255374187

Main info

Organization
Inactive
24 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1255374187
Phone
(714) 953-3331
Address
1001 N TUSTIN AVE
Deactivation Date
11 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
7148353555
Graduation Year
2002 (24 years ago)
PAC ID
3971546847
Group Practice PAC ID
6103739131
Professional Enrollment ID
I20050602000492
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

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Provider Addresses for Unknown Individual

  • Orange County Global Medical Center, 1001, North Tustin Avenue, Santa Ana, Orange County, California, 92705, United States

    EMERGENCY DEPARTMENT

    SANTA ANA, CA 927053502

    Phone: (714) 953-3331

    Type: Location

  • 13622, Hope Street, Garden Grove, Orange County, California, 92843, United States

    GARDEN GROVE, CA 928433262

    Phone: (714) 263-5636

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making124123$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only109102$0
99291Critical care, first 30-74 minutes2827$0
99284Emergency department visit with moderate level of medical decision making2423$0
View full utilization report →

Insurance plans in this area (ZIP 92705)

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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: 6103739131View full group profile
NameSpecialtyState
Emergency MedicineOH
Emergency MedicineMI
Emergency MedicineOH
Emergency MedicineCA
-DE
Emergency MedicineCA
Emergency MedicineCA
-CA
Emergency MedicineCA
Emergency MedicineNY

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1255374187 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in California?
You will see Santa Ana, California on file for Unknown Individual alongside any extra practice locations.
What if Santa Ana, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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