Unknown Individual – Anesthesiology Physician, NPI 1487668141

Unknown Individual is a healthcare provider. based in Orange, California. specializing in Anesthesiology Physician. They hold a License No. A30985 (CA). The NPI Number for Unknown Individual is 1487668141

Main info

Organization
Inactive
60 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1487668141
Phone
(714) 560-1580
Address
500 S MAIN ST
Deactivation Date
10 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7604468100
Graduation Year
1966 (60 years ago)
PAC ID
1355339979
Group Practice PAC ID
3678561263
Professional Enrollment ID
I20040504001502
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

  • 500, Main Street, Apopka, South Apopka, Orange County, Florida, 32703, United States

    SUITE # 1210

    ORANGE, CA 928684507

    Phone: (714) 560-1580

    Fax: (714) 560-1585

    Type: Mailing

  • Antelope Valley Hospital, 1600, West Avenue J, Lancaster, Los Angeles County, California, 93534, United States

    LANCASTER, CA 935342814

    Phone: (661) 949-5000

    Fax: (661) 949-5971

    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 92868)

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Provider's Procedures

Unknown Individual performs procedures in Anesthesiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYCA36620Insertion of arterial catheter for blood sampling or infusion, accessed through the skin3434

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: 3678561263View full group profile
NameSpecialtyState
-CA
Anesthesiology, Critical Care (Intensivists), Internal MedicineNY
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
Anesthesiology, Critical Care (Intensivists)GA
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1487668141 is assigned to Unknown Individual under the national enumeration system.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Orange, California for Unknown Individual based on available NPPES addresses.
What if Orange, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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