Unknown Individual – Gastroenterology Physician, NPI 1831163096
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
415, East Harding Way, Stockton, San Joaquin County, California, 95204, United States
# G
STOCKTON, CA 95204
Phone: (209) 464-9355
Fax: (209) 464-3504
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 30 Open Payments records for all available years, with a total value of $776.
Total Amount is formed as General ($776) + Research ($0) + Ownership ($0) = $776.
Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Gilead Sciences, Inc. ($537).
Total Amount
$776
General + Research + Ownership
Payments
30
Total payment records
General Amount
$776
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $537 |
| ABBVIE INC. | $104 |
| Takeda Pharmaceuticals U.S.A., Inc. | $48 |
| NESTLE HEALTHCARE NUTRITION INC. | $26 |
| Janssen Biotech, Inc. | $26 |
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 96 | 78 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 96 | 77 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 91 | 75 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 47 | 45 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 29 | 29 | $0 |
Insurance plans in this area (ZIP 95204)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| - | CA | |
| Internal Medicine | CA | |
| N E U R O L O G Y | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| Family Practice | CA | |
| Diagnostic Radiology | CA | |
| - | CA |
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