Unknown Individual – Internal Medicine Physician, NPI 1295763381

Unknown Individual is a healthcare provider. based in Westlake village, California. specializing in Internal Medicine Physician. They hold a License No. G30207 (CA). The NPI Number for Unknown Individual is 1295763381

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1295763381
Phone
(805) 497-9272
Address
1220 LA VENTA DR
Deactivation Date
26 February 2026

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Secondary Phone
8054979272
Graduation Year
1974 (52 years ago)
PAC ID
9537166285
Professional Enrollment ID
I20061023000371
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

Provider Addresses for Unknown Individual

  • 1220 LA VENTA DR

    100

    WESTLAKE VILLAGE, CA 913613703

    Phone: (805) 497-9272

    Fax: (805) 497-7082

    Type: Mailing

  • 32144 AGOURA RD

    STE 218

    WESTLAKE VILLAGE, CA 913614056

    Phone: (805) 497-9272

    Fax: (805) 497-7082

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $22,544.

Total Amount is formed as General ($70) + Research ($22,474) + Ownership ($0) = $22,544.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Eli Lilly and Company ($22,474).

Total Amount

$22,544

General + Research + Ownership

Payments

9

Total payment records

General Amount

$70

General payments

Research Amount

$22,474

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1071Injection, testosterone cypionate, 1 mg40,60011$0
96372Injection of drug or substance under skin or into muscle52630$0
99214Established patient office or other outpatient visit, 30-39 minutes245101$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8888$0
G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes8282$0
View full utilization report →

Insurance plans in this area (ZIP 91361)

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Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINECA81002Urinalysis, manual test5730
INTERNAL MEDICINECA90670Pneumococcal vaccine for injection into muscle2525

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1295763381.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Westlake Village, California in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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