Unknown Individual – Emergency Medicine Physician, NPI 1811931496

Unknown Individual is a healthcare provider. based in South pasadena, California. specializing in Emergency Medicine Physician. They hold a License No. A64925 (CA). The NPI Number for Unknown Individual is 1811931496

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1811931496
Phone
(626) 818-7881
Address
204 CEDAR CREST AVE
Deactivation Date
4 September 2025

Doctor Profile

Medical School Name
UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Secondary Phone
4243388144
Graduation Year
1996 (30 years ago)
PAC ID
4880672484
Group Practice PAC ID
2860707304
Professional Enrollment ID
I20040709001367
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

  • 204 CEDAR CREST AVE

    APT. #4

    SOUTH PASADENA, CA 910302036

    Phone: (626) 818-7881

    Type: Mailing

  • Encino Hospital Medical Center, 16237, Ventura Boulevard, Encino, Los Angeles, Los Angeles County, California, 91436, United States

    ENCINO, CA 914362201

    Phone: (818) 995-5350

    Fax: (818) 995-5032

    Type: Location

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only171152$0
99285Emergency department visit with high level of medical decision making161154$0
99291Critical care, first 30-74 minutes5857$0
99284Emergency department visit with moderate level of medical decision making3939$0
View full utilization report →

Insurance plans in this area (ZIP 91030)

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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: 2860707304View full group profile

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1811931496 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface South Pasadena, California for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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