Unknown Individual – Ophthalmology Physician, NPI 1679576276

Unknown Individual is a healthcare provider. based in Los angeles, California. specializing in Ophthalmology Physician. They hold a License No. G37076 (CA). The NPI Number for Unknown Individual is 1679576276

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1679576276
Phone
(310) 828-2020
Address
11600 WILSHIRE BLVD
Deactivation Date
13 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
3108282020
Graduation Year
1977 (49 years ago)
PAC ID
9436273257
Group Practice PAC ID
4880718519
Professional Enrollment ID
I20100901000402
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

  • Wilshire Boulevard, Financial District, Downtown, Los Angeles, Los Angeles County, California, 90025, United States

    STE 200

    LOS ANGELES, CA 900251782

    Phone: (310) 828-2020

    Fax: (310) 914-3009

    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 7 Open Payments records for all available years, with a total value of $276.

Total Amount is formed as General ($276) + Research ($0) + Ownership ($0) = $276.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Alcon Vision LLC ($87).

Total Amount

$276

General + Research + Ownership

Payments

7

Total payment records

General Amount

$276

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92012Established patient problem focused exam of visual system2115$0
92014Established patient complete exam of visual system1311$0
View full utilization report →

Insurance plans in this area (ZIP 90025)

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Provider's Procedures

Unknown Individual performs procedures in Ophthalmology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYCA92012Eye and medical examination for diagnosis and treatment, established patient15299
OPHTHALMOLOGYCA92134Diagnostic imaging of retina3030

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1679576276.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Los Angeles, California in registry-derived data.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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