Unknown Individual – Surgery Physician, NPI 1740231885

Unknown Individual is a healthcare provider. based in Ventura, California. specializing in Surgery Physician. They hold a License No. C34901 (CA). The NPI Number for Unknown Individual is 1740231885

Main info

Organization
Inactive
70 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1740231885
Phone
(805) 643-3783
Address
168 N BRENT ST
Deactivation Date
24 April 2024

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
-
Graduation Year
1956 (70 years ago)
PAC ID
6204972011
Professional Enrollment ID
I20091008000429
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

  • 168, North Brent Street, Ventura, Ventura County, California, 93003, United States

    # 504 JAMES D WOODBURN II MD

    VENTURA, CA 930032840

    Phone: (805) 643-3783

    Fax: (805) 643-0330

    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)

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.

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 93003)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1740231885 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Ventura, California. Check all listed addresses for suites or satellite offices.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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