Unknown Individual – Specialist, NPI 1811910649
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
501, Newport Center Drive, Fashion Island, Newport Center, Newport Beach, Orange County, California, 92660, United States
NEWPORT BEACH, CA 926607606
Phone: (949) 644-7200
Fax: (949) 644-7937
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)
CMS reports 25 Open Payments records for all available years, with a total value of $700.
Total Amount is formed as General ($700) + Research ($0) + Ownership ($0) = $700.
Last reported payment date: 2024-08-08 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($172).
Total Amount
$700
General + Research + Ownership
Payments
25
Total payment records
General Amount
$700
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $172 |
| Boston Scientific Corporation | $150 |
| Tolmar, Inc. | $80 |
| Astellas Pharma US Inc | $70 |
| Abbott Laboratories | $60 |
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1071 | Injection, testosterone cypionate, 1 mg | 14,801 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 487 | 225 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 368 | 238 | $0 |
| 76775 | Limited ultrasound scan behind abdominal cavity | 160 | 118 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 157 | 36 | $0 |
Insurance plans in this area (ZIP 92660)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | CA | |
| U R O L O G Y | CA | |
| U R O L O G Y | CA | |
| Physician Assistant | CA | |
| U R O L O G Y | CA | |
| U R O L O G Y | CA | |
| Pain Management, Anesthesiology | CA |
Reviews
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