Unknown Individual – Urology Physician, NPI 1427060425

Unknown Individual is a healthcare provider. based in Burbank, California. specializing in Urology Physician. They hold a License No. C27670 (CA). The NPI Number for Unknown Individual is 1427060425

Main info

Organization
Inactive
62 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1427060425
Phone
(818) 524-2003
Address
191 S BUENA VISTA ST
Deactivation Date
11 September 2024

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3106025005
Graduation Year
1964 (62 years ago)
PAC ID
1153349154
Group Practice PAC ID
5496767253
Professional Enrollment ID
I20080102000392
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

  • 191, South Buena Vista Street, Burbank, Los Angeles County, California, 91505, United States

    SUITE 235

    BURBANK, CA 915054504

    Phone: (818) 524-2003

    Fax: (818) 524-2807

    Type: Location

  • 8510, Balboa Boulevard, Northridge South Neighborhood Council District, Los Angeles, Los Angeles County, California, 91325, United States

    STE 150

    NORTHRIDGE, CA 913255810

    Phone: (818) 637-2000

    Fax: (818) 242-8761

    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 91505)

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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: 5496767253View full group profile

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1427060425.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Urology Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Burbank, California in the data we show; additional addresses may exist on the full record.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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