Unknown Individual – Emergency Medicine Physician, NPI 1306869920
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
970, Dewing Avenue, Lafayette, Contra Costa County, California, 94549, United States
SUITE 100B
LAFAYETTE, CA 945494291
Phone: (925) 766-1336
Fax: (925) 299-0683
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $54.
Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($54).
Total Amount
$54
General + Research + Ownership
Payments
1
Total payment records
General Amount
$54
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $54 |
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 94549)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Family Practice, Emergency Medicine | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| - | CA | |
| Physician Assistant | CA | |
| - | CA | |
| Emergency Medicine | CA | |
| Nurse Practitioner | CA | |
| - | CA |
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