Unknown Individual – Dermatology Physician, NPI 1295031896

Unknown Individual is a healthcare provider. based in Kentfield, California. specializing in Dermatology Physician. They hold a License No. G14781 (CA). The NPI Number for Unknown Individual is 1295031896

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1295031896
Phone
Not provided
Address
1 BUCKEYE WAY
Deactivation Date
27 December 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1 BUCKEYE WAY

    KENTFIELD, CA 949042602

    Phone:

    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 94904)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1295031896 for Unknown Individual.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Kentfield, California?
If you are local to Kentfield, California, Unknown Individual may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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