Unknown Individual – Surgical Physician Assistant, NPI 1982938049

Unknown Individual is a healthcare provider. based in Carmichael, California. specializing in Surgical Physician Assistant. They hold a License No. PA20440 (CA). The NPI Number for Unknown Individual is 1982938049

Main info

Organization
Inactive
17 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1982938049
Phone
(916) 536-9455
Address
6620 COYLE AVE
Deactivation Date
28 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9165369455107
Graduation Year
2009 (17 years ago)
PAC ID
7416095674
Group Practice PAC ID
5698781938
Professional Enrollment ID
I20091109000084
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 6620 COYLE AVE

    SUITE 212

    CARMICHAEL, CA 956086333

    Phone: (916) 536-9455

    Type: Location

  • Auburn Post Office, 1, James Street, City of Auburn, Cayuga County, New York, 13021, United States

    AUBURN, CA 956044888

    Phone:

    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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95608)

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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: 5698781938View full group profile
NameSpecialtyState
Orthopedic SurgeryID
Nurse PractitionerCA
Orthopedic SurgeryCA
Orthopedic SurgeryCA
Physician AssistantCA
Physician AssistantWA
Orthopedic SurgeryCA
Orthopedic SurgeryCA
Orthopedic SurgeryMI
Orthopedic SurgeryCA

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1982938049 in the public NPI dataset.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Carmichael, California may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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