Unknown Individual – Surgery Physician, NPI 1689781445

Unknown Individual is a healthcare provider. based in Redlands, California. specializing in Surgery Physician. They hold a License No. 020A76980 (CA). The NPI Number for Unknown Individual is 1689781445

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1689781445
Phone
(909) 747-0371
Address
PO BOX 670
Deactivation Date
23 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9095803353
Graduation Year
1982 (44 years ago)
PAC ID
9537116462
Group Practice PAC ID
4385556687
Professional Enrollment ID
I20050404000444
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

  • 670, Peony Drive, Grand Junction, Mesa County, Colorado, 81507, United States

    REDLANDS, CA 92373

    Phone: (909) 747-0371

    Fax: (909) 307-3287

    Type: Mailing

  • 400, Pepper Avenue, West Colton, Colton, San Bernardino County, California, 92324, United States

    ARMC MODULAR# 3

    COLTON, CA 923241801

    Phone: (909) 580-6210

    Fax: (909) 580-1363

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $1,187.

Total Amount is formed as General ($1,187) + Research ($0) + Ownership ($0) = $1,187.

Last reported payment date: 2024-05-21 • Largest payer in this snapshot: Teleflex LLC ($260).

Total Amount

$1,187

General + Research + Ownership

Payments

16

Total payment records

General Amount

$1,187

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-21

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes19484$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7572$0
99291Critical care, first 30-74 minutes6453$0
99214Established patient office or other outpatient visit, 30-39 minutes3920$0
99238Hospital discharge day management, 30 minutes or less3838$0
View full utilization report →

Insurance plans in this area (ZIP 92373)

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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: 4385556687View full group profile
NameSpecialtyState
-CA
Thoracic Surgery, General SurgeryCA
Surgical Oncology, General SurgeryCA
Vascular SurgeryCA
General Surgery, Vascular SurgeryCA
Vascular Surgery, General SurgeryCA
-CA
General Surgery, Vascular SurgeryCA
Thoracic SurgeryCA
N E U R O S U R G E R YCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1689781445 when you need to reference Unknown Individual in forms, claims, or directories.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Surgery Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in California?
You will see Redlands, California on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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