Unknown Individual – Family Medicine Physician, NPI 1831135979

Unknown Individual is a healthcare provider. based in Santa paula, California. specializing in Family Medicine Physician. They hold a License No. C28655 (CA). The NPI Number for Unknown Individual is 1831135979

Main info

Organization
Inactive
61 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1831135979
Phone
(805) 525-5762
Address
845 N 10TH ST
Deactivation Date
3 March 2021

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8055255762
Graduation Year
1965 (61 years ago)
PAC ID
5294762597
Professional Enrollment ID
I20100609000301
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

  • 845, North 10th Street, Santa Paula, Ventura County, California, 93060, United States

    STE #1

    SANTA PAULA, CA 93060

    Phone: (805) 525-5762

    Fax: (805) 525-7277

    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)

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93060)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1831135979?
NPI 1831135979 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in California is Unknown Individual registered?
Use Santa Paula, California as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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