Unknown Individual – Endocrinology, Diabetes & Metabolism Physician, NPI 1982617205

Unknown Individual is a healthcare provider. based in Walnut creek, California. specializing in Endocrinology, Diabetes & Metabolism Physician. They hold a License No. A24625 (CA). The NPI Number for Unknown Individual is 1982617205

Main info

Organization
Inactive
67 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1982617205
Phone
(925) 256-7958
Address
120 LA CASA VIA
Deactivation Date
11 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9252567958
Graduation Year
1959 (67 years ago)
PAC ID
4183752504
Professional Enrollment ID
I20101108000905
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

  • La Casa Via, Walnut Creek, Contra Costa County, California, 95498, United States

    SUITE 211

    WALNUT CREEK, CA 945983067

    Phone: (925) 256-7958

    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.

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Medicare Enrollment & Revalidation

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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 94598)

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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 1982617205.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Endocrinology, Diabetes & Metabolism Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Walnut Creek, California for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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