Unknown Individual – Family Medicine Physician, NPI 1881694776

Unknown Individual is a healthcare provider. based in La mesa, California. specializing in Family Medicine Physician. They hold a License No. C50806 (CA). The NPI Number for Unknown Individual is 1881694776

Main info

Organization
Inactive
50 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1881694776
Phone
(619) 668-8100
Address
8875 LA MESA BLVD STE C
Deactivation Date
6 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1976 (50 years ago)
PAC ID
1759272743
Professional Enrollment ID
I20040320000734
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

  • 8875, La Mesa Boulevard, La Mesa, San Diego County, California, 91941, United States

    LA MESA, CA 919425434

    Phone: (619) 668-8100

    Fax: (619) 667-2688

    Type: Mailing

  • 4276, 54th Place, El Cerrito Heights, San Diego, San Diego County, California, 92115, United States

    STE A

    SAN DIEGO, CA 921156011

    Phone: (619) 265-1070

    Fax: (619) 265-1454

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $176.

Total Amount is formed as General ($176) + Research ($0) + Ownership ($0) = $176.

Last reported payment date: 2023-11-28 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($40).

Total Amount

$176

General + Research + Ownership

Payments

8

Total payment records

General Amount

$176

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-28

Latest reported date

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
99214Established patient office or other outpatient visit, 30-39 minutes15597$0
99442Telephone medical discussion with physician, 11-20 minutes10182$0
99213Established patient office or other outpatient visit, 20-29 minutes5035$0
99443Telephone medical discussion with physician, 21-30 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 91942)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1881694776.
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.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface La Mesa, 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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