Unknown Individual – Diagnostic Radiology Physician, NPI 1912015652

Diagnostic Radiology Physician

Unknown Individual is a healthcare provider. based in Downey, California. specializing in Diagnostic Radiology Physician. They hold a License No. A33257 (CA). The NPI Number for Unknown Individual is 1912015652

Main info

Organization

Inactive

53 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1912015652

Phone

(562) 862-4566

Address

11411 BROOKSHIRE AVE

Deactivation Date

15 May 2024

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5628622775

Graduation Year

1973 (53 years ago)

PAC ID

6103729181

Group Practice PAC ID

1759317696

Professional Enrollment ID

I20040128000569

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience19

Completeness75

Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

11411, Brookshire Avenue, Downey, Los Angeles County, California, 90241, United States
DOWNEY, CA 902415003
Phone: (562) 862-4566
Fax: (562) 862-4638
Type: Location
Bellflower Post Office, Flower Street, Bellflower, Los Angeles County, California, 90706, United States
BELLFLOWER, CA 907071682
Phone: (562) 229-9452
Fax: (562) 920-4642
Type: Mailing

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
71046	X-ray of chest, 2 views	81	76	$0
73562	X-ray of knee, 3 views	50	37	$0
73130	X-ray of hand, minimum of 3 views	44	26	$0
76700	Complete ultrasound scan of abdomen	36	36	$0
73630	X-ray of foot, minimum of 3 views	32	23	$0

View full utilization report →

Insurance plans in this area (ZIP 90241)

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Provider's Procedures

Unknown Individual performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
DIAGNOSTIC RADIOLOGY	CA	71010	X-ray of chest, 1 view, front	40	36
DIAGNOSTIC RADIOLOGY	CA	73562	X-ray of knee, 3 views	82	61

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: 1759317696View full group profile

Name	Specialty	State
DR. AUGUSTO RODRIGUEZ (M.D.)	-	CA
DR. VINOD D PATEL (M.D.)	-	IL
STELA GEORGIEVA KOSTOVA-ABADJIEVA (MD)	-	CA
JOEL G GOLDEN (M.D.)	-	IL
DR. JUNG MOK PARK (M.D.)	-	IL
DR. ARSHIA HASHMY (M.D.)	-	CA
DR. DIONISIO DABU (M.D.)	-	IL
DR. MANUEL CHON (M.D.)	-	IL
DR. EMERICO CSEPANYI (M.D.)	-	CA