Unknown Individual – Anesthesiology Physician, NPI 1295728962
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,371 ANESTHESIOLOGY in CA
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Provider Addresses for Unknown Individual
4030, Joppa Road, Spring Hill, Perry Hall, Baltimore County, Maryland, 21236, United States
FULLERTON, CA 928344030
Phone: (714) 992-4444
Fax: (714) 879-9999
Type: Mailing
PIH Health Whittier Hospital, 12401, Washington Boulevard, Whittier, Los Angeles County, California, 90602, United States
WHITTIER, CA 906021006
Phone: (562) 698-0811
Type: Location
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.
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070907000430 | I | Anesthesiology | CA | TBD |
| I20230214000948 | I | Anesthesiology | NV | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 |
|---|---|---|---|---|
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 15 | 14 | $0 |
| 36556 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | 14 | 13 | $0 |
Insurance plans in this area (ZIP 92834)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | CA | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| Diagnostic Radiology | TX | |
| - | NV | |
| - | NV | |
| - | NV | |
| - | NV | |
| General Surgery | NV | |
| Nurse Practitioner | NV | |
| - | NV | |
| Diagnostic Radiology | TX |
Reviews
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