Unknown Individual – Vascular & Interventional Radiology Physician, NPI 1124031646

Unknown Individual is a healthcare provider. based in Fresno, California. specializing in Vascular & Interventional Radiology Physician. They hold a License No. A26126 (CA). The NPI Number for Unknown Individual is 1124031646

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124031646
Phone
(661) 948-4781
Address
PO BOX 26750
Deactivation Date
7 December 2021
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

  • PO BOX 26750

    FRESNO, CA 937296750

    Phone: (661) 948-4781

    Type: Mailing

  • North 10th Street, Columbia, Lancaster County, Pennsylvania, 17512, United States

    LANCASTER, CA 93534

    Phone: (661) 948-4781

    Type: Location

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 93729)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1124031646.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Vascular & Interventional Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Fresno, California may find Unknown Individual in results; validate coverage separately.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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