Unknown Individual – Surgery Physician, NPI 1356430375

Unknown Individual is a healthcare provider. based in Ridgecrest, California. specializing in Surgery Physician. They hold a License No. A54184 (CA). The NPI Number for Unknown Individual is 1356430375

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1356430375
Phone
(760) 446-0121
Address
1081 N CHINA LAKE BLVD
Deactivation Date
14 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7604466404
Graduation Year
1977 (49 years ago)
PAC ID
8729152772
Group Practice PAC ID
9739099896
Professional Enrollment ID
I20150727001134

Contacts

Secure Messaging
kishoretonsekar@rrh.medalliesdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:0State licenses:2Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • Ridgecrest Regional Hospital, 1081, North China Lake Boulevard, Ridgecrest, Kern County, California, 93555, United States

    RIDGECREST, CA 935553130

    Phone: (760) 446-0121

    Fax: (760) 446-0734

    Type: Mailing

  • Southern Sierra Medical Clinic, 1041, North China Lake Boulevard, Ridgecrest, Kern County, California, 93555, United States of America

    RIDGECREST, CA 935553183

    Phone: (760) 446-0121

    Fax: (760) 446-0734

    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 93555)

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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: 9739099896View full group profile
NameSpecialtyState
Physician AssistantCA
Nurse PractitionerCA
-WV
Internal MedicineCA
Certified Registered Nurse Anesthetist (Crna)NM
-CA
-CA
-CA
Nurse PractitionerCA
-CA

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1356430375?
NPI 1356430375 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Ridgecrest, California.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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