Unknown Individual – Pulmonary Disease Physician, NPI 1295927911

Unknown Individual is a healthcare provider. based in Fresno, California. specializing in Pulmonary Disease Physician. They hold a License No. A88214 (CA). The NPI Number for Unknown Individual is 1295927911

Main info

Organization
Inactive
29 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1295927911
Phone
(559) 443-2682
Address
2625 E DIVISADERO ST
Deactivation Date
3 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5594596000
Graduation Year
1997 (29 years ago)
PAC ID
5799845004
Group Practice PAC ID
3173430865
Professional Enrollment ID
I20081117000481
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 2625, Divisadero Street, Fresno, Fresno County, California, 93721, United States

    FRESNO, CA 937211431

    Phone: (559) 443-2682

    Fax: (559) 443-2681

    Type: Mailing

  • 2335 E KASHIAN LN STE 260

    FRESNO, CA 937012234

    Phone: (559) 256-5130

    Fax: (559) 485-4504

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $552.

Total Amount is formed as General ($552) + Research ($0) + Ownership ($0) = $552.

Last reported payment date: 2023-04-19 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($500).

Total Amount

$552

General + Research + Ownership

Payments

3

Total payment records

General Amount

$552

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-19

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
99291Critical care, first 30-74 minutes8133$0
99215Established patient office or other outpatient visit, 40-54 minutes3125$0
99214Established patient office or other outpatient visit, 30-39 minutes2219$0
94729Test to examine how well the lungs exchange gases1313$0
View full utilization report →

Insurance plans in this area (ZIP 93721)

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Provider's Procedures

Unknown Individual performs procedures in Pulmonary Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASECA94727Determination of lung volumes using gas dilution or washout6363

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: 3173430865View full group profile
NameSpecialtyState
Internal MedicineCA
Cardiovascular Disease (Cardiology)CA
Cardiovascular Disease (Cardiology), Internal MedicineCA
Cardiovascular Disease (Cardiology), Internal Medicine, Nuclear MedicineCA
Cardiovascular Disease (Cardiology)CA
Cardiovascular Disease (Cardiology), Cardiac SurgeryNY
Cardiovascular Disease (Cardiology)CA
Interventional Cardiology, Cardiovascular Disease (Cardiology)CO
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)CA
Cardiovascular Disease (Cardiology)CA

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1295927911.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Fresno, California?
If you are local to Fresno, California, Unknown Individual may be relevant to your search.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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