Unknown Individual – Emergency Medicine Physician, NPI 1356384572

Unknown Individual is a healthcare provider. based in Kingsburg, California. specializing in Emergency Medicine Physician. They hold a License No. G37735 (CA). The NPI Number for Unknown Individual is 1356384572

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1356384572
Phone
Not provided
Address
PO BOX 414
Deactivation Date
3 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Secondary Phone
5628634763
Graduation Year
1977 (49 years ago)
PAC ID
2466421508
Group Practice PAC ID
5193886505
Professional Enrollment ID
I20040927000503
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

Provider Addresses for Unknown Individual

  • PO BOX 414

    KINGSBURG, CA 936310414

    Phone:

    Type: Mailing

  • CLOVIS URGENT CARE MEDICAL CENTER

    2200 CLOVIS AVE

    CLOVIS, CA 93612

    Phone: (559) 294-1162

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making128127$0
99284Emergency department visit with moderate level of medical decision making4240$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3636$0
View full utilization report →

Insurance plans in this area (ZIP 93631)

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Provider's Procedures

Unknown Individual performs procedures in Emergency Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINECA31500Emergent insertion of breathing tube into windpipe cartilage using an endoscope1917
EMERGENCY MEDICINECA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report6761

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: 5193886505View full group profile
NameSpecialtyState
Emergency MedicineCA
Family PracticeCA
Emergency MedicineCA
Internal MedicineCA
Emergency MedicineCA
-CA

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1356384572 as the unique 10-digit identifier.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Kingsburg, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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