Unknown Individual – Physician Assistant, NPI 1801901574

Unknown Individual is a healthcare provider. based in Oakdale, California. specializing in Physician Assistant. They hold a License No. PA15134 (CA). The NPI Number for Unknown Individual is 1801901574

Main info

Organization
Inactive
27 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1801901574
Phone
(209) 848-2273
Address
232 W F ST
Deactivation Date
22 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2098482273
Graduation Year
1999 (27 years ago)
PAC ID
9739122623
Group Practice PAC ID
7618278052
Professional Enrollment ID
I20050601001103
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

  • 232, West F Street, Oakdale, Stanislaus County, California, 95361, United States

    OAKDALE, CA 953613844

    Phone: (209) 848-2273

    Fax: (209) 848-0242

    Type: Location

  • Oakdale Post Office, 228, Wimborne Road, Oakdale, Poole, Bournemouth, Christchurch and Poole, England, BH15 3DL, United Kingdom

    OAKDALE, CA 953615156

    Phone: (209) 848-2273

    Fax: (209) 848-0242

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $227.

Total Amount is formed as General ($227) + Research ($0) + Ownership ($0) = $227.

Last reported payment date: 2024-07-08 • Largest payer in this snapshot: Shionogi Inc ($112).

Total Amount

$227

General + Research + Ownership

Payments

13

Total payment records

General Amount

$227

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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
99213Established patient office or other outpatient visit, 20-29 minutes13058$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5353$0
G0008Administration of influenza virus vaccine2323$0
90686Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage1919$0
99214Established patient office or other outpatient visit, 30-39 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 95361)

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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: 7618278052View full group profile
NameSpecialtyState
Internal Medicine, Infectious DiseaseCA
Physician AssistantCA

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1801901574.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Oakdale, California in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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