Unknown Individual – Emergency Medicine Physician, NPI 1306893672

Unknown Individual is a healthcare provider. based in Los angeles, California. specializing in Emergency Medicine Physician. They hold a License No. G37803 (CA). The NPI Number for Unknown Individual is 1306893672

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1306893672
Phone
(800) 819-2424
Address
FILE 57430
Deactivation Date
17 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5052912700
Graduation Year
1977 (49 years ago)
PAC ID
9537067640
Group Practice PAC ID
9234041708
Professional Enrollment ID
I20160825001428
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

Loading map...

Provider Addresses for Unknown Individual

  • DPWH Rank & File Cooperative Station, Sayre Highway, Angeles, Dalirig, Bukidnon, Northern Mindanao, Philippines

    LOS ANGELES, CA 900740001

    Phone: (800) 819-2424

    Type: Mailing

  • San Gabriel Valley Medical Center, 438, West Las Tunas Drive, San Gabriel, Los Angeles County, California, 91776, United States

    SAN GABRIEL, CA 917761216

    Phone: (626) 289-5454

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90074)

Loading plans...

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: 9234041708View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1306893672.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Emergency Medicine Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Los Angeles, California as a primary anchor for Unknown Individual unless the record lists multiple sites.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

Unknown Individual

Internal Medicine Physician
Cedars-Sinai Medical Center, 8700, Beverly Boulevard, West Hollywood, Los Angeles County, California, 90048, United States
NPI: 1114923570

LINDA STERRY (DO)

Internal Medicine Physician
North Hollywood Way, Burbank, Los Angeles County, California, 91522, United States
NPI: 1629070198

DR. JAMES SCOTT FISHKIN (M.D.)

Emergency Medical Services (Emergency Medicine) Physician
Box, Lago del Salado, Los Angeles, San Nicolás de los Garza, Nuevo León, 66477, Mexico
NPI: 1518951565

DR. FRED EINESMAN (M.D.)

Emergency Medical Services (Emergency Medicine) Physician
Box, Lago del Salado, Los Angeles, San Nicolás de los Garza, Nuevo León, 66477, Mexico
NPI: 1487648259

DR. LAURANCE JASON FRIEDMAN (M.D.)

Emergency Medicine Physician
PO BOX 51258
NPI: 1225022098

DR. DAVID BARCAY (M.D.)

Emergency Medicine Physician
KLVE-FM (Los Angeles), Mount Wilson Red Box Road, Mount Wilson, Los Angeles County, California, 91023, United States
NPI: 1891789764

DR. KENNETH CORRE (M.D.)

Emergency Medicine Physician
Box, Lago del Salado, Los Angeles, San Nicolás de los Garza, Nuevo León, 66477, Mexico
NPI: 1487648358

DR. DAVID MICHAEL FRANKLE (M.D.)

Emergency Medicine Physician
Cedars-Sinai Medical Center, 8700, Beverly Boulevard, West Hollywood, Los Angeles County, California, 90048, United States
NPI: 1013901644

DR. SUSAN BELINDA GARDNER (M.D.)

Emergency Medicine Physician
PO BOX 51258
NPI: 1922092550