Unknown Individual – Internal Medicine Physician, NPI 1770764508

Unknown Individual is a healthcare provider. based in Santa monica, California. specializing in Internal Medicine Physician. They hold a License No. A42406 (CA). The NPI Number for Unknown Individual is 1770764508

Main info

Organization
Inactive
61 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1770764508
Phone
(310) 429-9199
Address
1443 BERKELEY ST
Deactivation Date
16 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8187086163
Graduation Year
1965 (61 years ago)
PAC ID
3476456401
Group Practice PAC ID
9234210667
Professional Enrollment ID
I20040128000782
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

Loading map...

Provider Addresses for Unknown Individual

  • 1443, Berkeley Street, Santa Monica, Los Angeles County, California, 90404, United States

    NO 1

    SANTA MONICA, CA 904043230

    Phone: (310) 429-9199

    Type: Mailing

  • Santa Monica Boulevard, West Los Angeles, Sawtelle, Los Angeles, Los Angeles County, California, 90025-9998, United States

    SUITE 204

    WEST LOS ANGELES, CA 900252767

    Phone: (310) 207-6868

    Fax: (310) 477-6090

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1916$0
99213Established patient office or other outpatient visit, 20-29 minutes1813$0
View full utilization report →

Insurance plans in this area (ZIP 90404)

Loading plans...

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: 9234210667View full group profile
NameSpecialtyState
Unknown Individual
-CA
MASSOUD S AMINI (M.D.)
-CA
DR. ROBERT DOUGLAS COLLINS (M.D.)
-CA
DR. BAHRAM TABIBIAN
-CA
MR. HEDAYAT GOLCHEH (M.D.)
-CA
DR. HILDA SHARIFI-NIA (MD)
General Surgery, Emergency MedicineCA

Reviews

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

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1770764508 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Santa Monica, California for Unknown Individual; download NPPES for the complete set.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1770764508. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

mEDICAL cENTER FOR PULMONARY DISEASES

General Acute Care Hospital
Santa Monica Boulevard, Sawtelle, Santa Monica, Los Angeles County, California, 90404, United States
NPI: 1649274093

SHREETI HASMUKH PATEL (MD)

Hospitalist Physician
Hawthorne Boulevard, Hawthorne, Los Angeles County, California, 90250, United States
NPI: 1154322691

CHIQUITA RENEE FLOWERS (M.D.)

Internal Medicine Physician
1235, 10th Street, Santa Monica, Los Angeles County, California, 90401, United States
NPI: 1972595700

DR. NEAL SHANBLATT (M.D.)

Internal Medicine Physician
1304 15TH ST STE 402
NPI: 1922092410

DR. TERESE CATHERINE HAMMOND (M.D.)

Pulmonary Disease Physician
100, Wilson Road, Monterey, Monterey County, California, 93940, United States
NPI: 1407831829

DR. SUNIL G. SUJAN (M.D.)

Internal Medicine Physician
838 19th St Apt 5
NPI: 1598740474

MARK NACHMAN (MD)

Internal Medicine Physician
Dr. Robert Cohen, 1301, 20th Street, Santa Monica, Los Angeles County, California, 90404, United States
NPI: 1104803683