Unknown Individual – Internal Medicine Physician, NPI 1235107293

Unknown Individual is a healthcare provider. based in Eureka, California. specializing in Internal Medicine Physician. They hold a License No. A41203 (CA). The NPI Number for Unknown Individual is 1235107293

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1235107293
Phone
(707) 269-7500
Address
930 W HARRIS ST
Deactivation Date
5 March 2026
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

  • 930, West Harris Street, Eureka Mall Region, Eureka, Humboldt County, California, 95503, United States

    280 COHASSET RD

    EUREKA, CA 955033927

    Phone: (707) 269-7500

    Fax: (707) 269-7556

    Type: Mailing

  • Cohasset Road, Chico, Butte County, California, 95973, United States

    CHICO, CA 959262210

    Phone: (530) 879-5027

    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 95503)

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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 1235107293 in the public NPI dataset.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Eureka, 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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