Unknown Individual – Gastroenterology Physician, NPI 1962448498

Unknown Individual is a healthcare provider. based in Escondido, California. specializing in Gastroenterology Physician. They hold a License No. G24019 (CA). The NPI Number for Unknown Individual is 1962448498

Main info

Organization
Inactive
57 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1962448498
Phone
(760) 741-6976
Address
488 E VALLEY PKWY
Deactivation Date
11 November 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Secondary Phone
-
Graduation Year
1969 (57 years ago)
PAC ID
4587619648
Professional Enrollment ID
I20071212000768
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

  • Valley Parkway Health Center, 488, East Valley Parkway, Mission Park, Escondido, San Diego County, California, 92055, United States

    STE. #313

    ESCONDIDO, CA 920253363

    Phone: (760) 741-6976

    Fax: (760) 741-2870

    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)

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 92025)

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Provider's Procedures

Unknown Individual performs procedures in Gastroenterology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYCA43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope9895
GASTROENTEROLOGYCA45378Diagnostic examination of large bowel using an endoscope102100
GASTROENTEROLOGYCA45385Removal of polyps or growths of large bowel using an endoscope4847

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1962448498 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Escondido, California.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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