Unknown Individual – Orthopaedic Surgery Physician, NPI 1346222155

Unknown Individual is a healthcare provider. based in Riverside, California. specializing in Orthopaedic Surgery Physician. They hold a License No. A34441 (CA). The NPI Number for Unknown Individual is 1346222155

Main info

Organization
Inactive
60 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1346222155
Phone
(951) 782-3704
Address
3600 ARLINGTON AVE
Deactivation Date
22 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9516836370
Graduation Year
1966 (60 years ago)
PAC ID
7113107160
Group Practice PAC ID
2961492327
Professional Enrollment ID
I20110208000400
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

  • 3600, Arlington Avenue, Magnolia Center, Riverside, Riverside County, California, 92506, United States

    RIVERSIDE, CA 925063912

    Phone: (951) 782-3704

    Fax: (951) 784-3262

    Type: Mailing

  • 7117, Brockton Avenue, Riverside, Riverside County, California, 92506, United States

    RIVERSIDE, CA 925062615

    Phone: (951) 782-3704

    Fax: (951) 784-3271

    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.

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 92506)

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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: 2961492327View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
-CA
-CA
Internal MedicineCA
Dermatology, Micrographic Dermatologic Surgery (Mds)CA
Internal MedicineCA
Family PracticeCA
Family PracticeCA
Internal MedicineCA
Family PracticeCA

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1346222155 when you need to reference Unknown Individual in forms, claims, or directories.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Riverside, California for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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