Unknown Individual – Sports Medicine (Neuromusculoskeletal Medicine) Physician, NPI 1659332229

Unknown Individual is a healthcare provider. based in Lake arrowhead, California. specializing in Sports Medicine (Neuromusculoskeletal Medicine) Physician. They hold a License No. 020A42310 (CA). The NPI Number for Unknown Individual is 1659332229

Main info

Organization
Inactive
65 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1659332229
Phone
(909) 337-7771
Address
29099 HOSPITAL RD
Deactivation Date
31 January 2024

Doctor Profile

Medical School Name
COLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
Secondary Phone
9093377771
Graduation Year
1961 (65 years ago)
PAC ID
0749171676
Professional Enrollment ID
I20040322000906
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 29099, Hospital Road, Lake Arrowhead, San Bernardino County, California, 92352, United States

    204B

    LAKE ARROWHEAD, CA 923522884

    Phone: (909) 337-7771

    Fax: (909) 337-5353

    Type: Location

  • Lake Arrowhead Post Office, CA 173, Cedar Glen, Lake Arrowhead, San Bernardino County, California, 92352, United States

    LAKE ARROWHEAD, CA 923522884

    Phone: (909) 337-7771

    Fax: (909) 337-5353

    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.

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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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes18787$0
99214Established patient office or other outpatient visit, 30-39 minutes7249$0
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Insurance plans in this area (ZIP 92352)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1659332229 uniquely identifies Unknown Individual in U.S. healthcare data.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Sports Medicine (Neuromusculoskeletal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Lake Arrowhead, California. Check all listed addresses for suites or satellite offices.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.