Unknown Individual – Ophthalmology Physician, NPI 1952301004

Unknown Individual is a healthcare provider. based in Los angeles, California. specializing in Ophthalmology Physician. They hold a License No. G44736 (CA). The NPI Number for Unknown Individual is 1952301004

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1952301004
Phone
(323) 665-5572
Address
5101 SANTA MONICA BLVD
Deactivation Date
9 November 2023

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
3236655572
Graduation Year
1978 (48 years ago)
PAC ID
0244354090
Professional Enrollment ID
I20100831000183
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

  • Falafel Arax, 5101, Santa Monica Boulevard, East Hollywood, Los Angeles, Los Angeles County, California, 90029, United States

    SUITE 4A

    LOS ANGELES, CA 900292478

    Phone: (323) 665-5572

    Fax: (323) 665-5579

    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 3 Open Payments records for all available years, with a total value of $52.

Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.

Last reported payment date: 2023-07-19 • Largest payer in this snapshot: ABBVIE INC. ($52).

Total Amount

$52

General + Research + Ownership

Payments

3

Total payment records

General Amount

$52

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$52
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
92012Established patient problem focused exam of visual system506399$0
92014Established patient complete exam of visual system205204$0
92083Exam of visual field with extended testing173170$0
99213Established patient office or other outpatient visit, 20-29 minutes12192$0
92004New patient complete exam of visual system120120$0
View full utilization report →

Insurance plans in this area (ZIP 90029)

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Provider's Procedures

Unknown Individual performs procedures in Ophthalmology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYCA92012Eye and medical examination for diagnosis and treatment, established patient1534898

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1952301004.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Ophthalmology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Los Angeles, California in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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