Unknown Individual – Family Medicine Physician, NPI 1386706489

Unknown Individual is a healthcare provider. based in El monte, California. specializing in Family Medicine Physician. They hold a License No. A44265 (CA). The NPI Number for Unknown Individual is 1386706489

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1386706489
Phone
(626) 350-8101
Address
3564 SANTA ANITA AVE STE A
Deactivation Date
26 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6263508101
Graduation Year
1982 (44 years ago)
PAC ID
1850482506
Group Practice PAC ID
6901997634
Professional Enrollment ID
I20070809000301
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

  • 3564 SANTA ANITA AVE STE A

    EL MONTE, CA 917312458

    Phone: (626) 350-8101

    Fax: (626) 442-0196

    Type: Location

  • 5953, Atlantic Boulevard, Maywood, Los Angeles County, California, 90270, United States

    MAYWOOD, CA 902703133

    Phone: (323) 562-6170

    Fax: (323) 562-6176

    Type: Mailing

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 91731)

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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: 6901997634View full group profile
NameSpecialtyState
DR. DANIEL TRAN (M.D.)
-CA
DR. BRIAN MIRAZIC (M.D.)
-CA
DR. CARLOS BULAON (M.D.)
-CA

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1386706489.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists El Monte, California for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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