Unknown Individual – Nurse Practitioner, NPI 1699805770
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
24738 CARMEL DR
CARSON, CA 907456448
Phone: (310) 830-0307
Type: Mailing
23517 MAIN ST
#103
CARSON, CA 907455251
Phone: (310) 834-5388
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $90.
Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Amgen Inc. ($46).
Total Amount
$90
General + Research + Ownership
Payments
4
Total payment records
General Amount
$90
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $46 |
| Otsuka America Pharmaceutical, Inc. | $27 |
| Sumitomo Pharma America, Inc. | $16 |
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 90745)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Family Practice | CA | |
| Nurse Practitioner | CA |
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