Unknown Individual – Orthopaedic Surgery Physician, NPI 1760457592

Unknown Individual is a healthcare provider. based in Thousand oaks, California. specializing in Orthopaedic Surgery Physician. They hold a License No. G38481 (CA). The NPI Number for Unknown Individual is 1760457592

Main info

Organization
Inactive
53 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1760457592
Phone
(805) 527-3222
Address
90 E Thousand Oaks Blvd Ste 205
Deactivation Date
3 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1973 (53 years ago)
PAC ID
7517981335
Professional Enrollment ID
I20110916000043
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

Provider Addresses for Unknown Individual

  • 90 E Thousand Oaks Blvd Ste 205

    Thousand Oaks, CA 913605711

    Phone: (805) 527-3222

    Fax: (805) 582-2651

    Type: Location

  • 203, East Los Angeles Avenue, Greek Track, Simi Valley, Ventura County, California, 93065, United States

    SIMI VALLEY, CA 930657839

    Phone: (805) 527-3222

    Fax: (805) 582-2651

    Type: Mailing

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.

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Medicare Enrollment & Revalidation

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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 91360)

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Provider's Procedures

Unknown Individual performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYCA20610Aspiration and/or injection of large joint or joint capsule2615
ORTHOPEDIC SURGERYCA97001Physical therapy evaluation2824
ORTHOPEDIC SURGERYCA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes20427

Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1760457592.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Orthopaedic Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Thousand Oaks, California in registry-derived data.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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