Unknown Individual – Anesthesiology Physician, NPI 1902899503

Unknown Individual is a healthcare provider. based in Santa ana, California. specializing in Anesthesiology Physician. They hold a License No. G45639 (CA). The NPI Number for Unknown Individual is 1902899503

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1902899503
Phone
(714) 347-1000
Address
210 N TUSTIN AVE
Deactivation Date
24 August 2021

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1980 (46 years ago)
PAC ID
7810891439
Professional Enrollment ID
I20040210000624
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

  • 210, North Tustin Avenue, Santa Ana, Orange County, California, 92705, United States

    SANTA ANA, CA 927053807

    Phone: (714) 347-1000

    Fax: (714) 647-1245

    Type: Mailing

  • 681, South Parker Street, Orange, Orange County, California, 92868, United States

    SUITE 150

    ORANGE, CA 928684719

    Phone: (714) 744-0900

    Fax: (714) 744-0283

    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.

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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 92705)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1902899503.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Santa Ana, California may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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