Unknown Individual – Interventional Cardiology Physician, NPI 1710970645

Interventional Cardiology Physician

Unknown Individual is a healthcare provider. based in Redding, California. specializing in Interventional Cardiology Physician. They hold a License No. G48624 (CA). The NPI Number for Unknown Individual is 1710970645

Main info

Organization

Inactive

45 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1710970645

Phone

(415) 595-5568

Address

PO BOX 496084

Deactivation Date

9 September 2022

Doctor Profile

Medical School Name

UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE

Secondary Phone

Graduation Year

1981 (45 years ago)

PAC ID

9436172178

Professional Enrollment ID

I20060110000249

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

Jack in the Box, Railroad Avenue, Redding, Shasta County, California, 96001, United States
REDDING, CA 960496084
Phone: (415) 595-5568
Fax: (530) 229-3703
Type: Mailing
Sierra Nevada Memorial Hospital, 155, Glasson Way, Spring Hill, Grass Valley, Nevada County, California, 95945, United States
GRASS VALLEY, CA 95945
Phone: (530) 274-6000
Fax: (530) 229-3703
Type: Location

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96049)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?

NPI numbers are unique to each provider or organization — Unknown Individual uses 1710970645.

Why is Unknown Individual marked inactive in the NPI directory?

The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.

What is Unknown Individual's primary classification?

Interventional Cardiology Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.

What area does Unknown Individual serve?

Unknown Individual's listing highlights Redding, California; more addresses can appear in NPPES.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.