Unknown Individual – Specialist, NPI 1497751689

Unknown Individual is a healthcare provider. based in Inglewood, California. specializing in Specialist. They hold a License No. A19051 (CA). The NPI Number for Unknown Individual is 1497751689

Main info

Organization
Inactive
67 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1497751689
Phone
(310) 672-3900
Address
501 E HARDY ST
Deactivation Date
29 April 2023

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
3106723900
Graduation Year
1959 (67 years ago)
PAC ID
0941344402
Group Practice PAC ID
0345226767
Professional Enrollment ID
I20100222000427

Contacts

Secure Messaging
Robert.Chesne@apex.directbygreenway.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • 501, East Hardy Street, Inglewood, Los Angeles County, California, 90301, United States

    STE 200

    INGLEWOOD, CA 903014057

    Phone: (310) 672-3900

    Fax: (310) 671-8438

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $59.

Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.

Last reported payment date: 2023-03-16 • Largest payer in this snapshot: Impulse Dynamics (USA) Inc. ($39).

Total Amount

$59

General + Research + Ownership

Payments

2

Total payment records

General Amount

$59

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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 90301)

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Provider's Procedures

Unknown Individual performs procedures in Specialist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)CA71250CT scan chest1713
CARDIOVASCULAR DISEASE (CARDIOLOGY)CA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies7171
CARDIOVASCULAR DISEASE (CARDIOLOGY)CA85610Blood test, clotting time9512
CARDIOVASCULAR DISEASE (CARDIOLOGY)CA93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report1711

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: 0345226767View full group profile
NameSpecialtyState
Internal Medicine, Cardiovascular Disease (Cardiology)CA
Nurse PractitionerCA
Nurse PractitionerAZ
Physician AssistantTX
Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology)CA
Internal Medicine, Cardiovascular Disease (Cardiology)CA
Cardiovascular Disease (Cardiology), Internal MedicineCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1497751689?
NPI 1497751689 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Other Service Providers. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Inglewood, California.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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