Unknown Individual – Orthopaedic Surgery Physician, NPI 1992794960

Unknown Individual is a healthcare provider. based in Los gatos, California. specializing in Orthopaedic Surgery Physician. They hold a License No. G035384 (CA). The NPI Number for Unknown Individual is 1992794960

Main info

Organization
Inactive
50 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1992794960
Phone
(408) 412-8110
Address
340 DARDANELLI LN STE 10
Deactivation Date
19 February 2026

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4084128110
Graduation Year
1976 (50 years ago)
PAC ID
7113090259
Group Practice PAC ID
2567623390
Professional Enrollment ID
I20080722000624
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

  • Dardanelli Lane, Santina Community, Campbell, Santa Clara County, California, 95008, United States

    LOS GATOS, CA 950321418

    Phone: (408) 412-8110

    Fax: (408) 412-8117

    Type: Mailing

  • Dardanelli Lane, Vasona Junction, Los Gatos, Santa Clara County, California, 95008, United States

    LOS GATOS, CA 950321418

    Phone: (408) 412-8131

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $68,612.

Total Amount is formed as General ($68,612) + Research ($0) + Ownership ($0) = $68,612.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Smith+Nephew, Inc. ($68,612).

Total Amount

$68,612

General + Research + Ownership

Payments

8

Total payment records

General Amount

$68,612

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$68,612
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.

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

Insurance plans in this area (ZIP 95032)

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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: 2567623390View full group profile

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1992794960 for Unknown Individual, then check state licensing separately.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Los Gatos, California; more addresses can appear in NPPES.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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