Unknown Individual – Diagnostic Radiology Physician, NPI 1316997224

Unknown Individual is a healthcare provider. based in San diego, California. specializing in Diagnostic Radiology Physician. They hold a License No. G22697 (CA). The NPI Number for Unknown Individual is 1316997224

Main info

Organization
Inactive
55 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1316997224
Phone
(858) 564-1400
Address
PO BOX 910329
Deactivation Date
15 April 2021

Doctor Profile

Medical School Name
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Secondary Phone
3239313400
Graduation Year
1971 (55 years ago)
PAC ID
7214926070
Group Practice PAC ID
2163597899
Professional Enrollment ID
I20040507001187
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

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Provider Addresses for Unknown Individual

  • PO BOX 910329

    SAN DIEGO, CA 921910329

    Phone: (858) 564-1400

    Type: Mailing

  • Eisenhower Medical Center, 39000, Bob Hope Drive, Rancho Mirage, Riverside County, California, 92270, United States

    RANCHO MIRAGE, CA 922703221

    Phone: (760) 340-3911

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 92191)

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Provider's Procedures

Unknown Individual performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYCA71010X-ray of chest, 1 view, front214193
DIAGNOSTIC RADIOLOGYCA73562X-ray of knee, 3 views1512

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: 2163597899View full group profile

Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1316997224 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near San Diego?
Unknown Individual currently maps to San Diego, California in this extract.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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