Unknown Individual – Emergency Medical Services (Emergency Medicine) Physician, NPI 1457575375

Unknown Individual is a healthcare provider. based in La jolla, California. specializing in Emergency Medical Services (Emergency Medicine) Physician. They hold a License No. C31028 (CA). The NPI Number for Unknown Individual is 1457575375

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1457575375
Phone
(619) 851-2798
Address
6101 TERRYHILL DR
Deactivation Date
31 July 2025
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

Provider Addresses for Unknown Individual

  • 6101 TERRYHILL DR

    LA JOLLA, CA 920376837

    Phone: (619) 851-2798

    Type: Mailing

  • 751 MEDICAL CENTER CT

    SUITE 105

    CHULA VISTA, CA 919116617

    Phone: (619) 955-5246

    Fax: (619) 656-9761

    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.

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 92037)

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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 1457575375 in the public NPI dataset.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Emergency Medical Services (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights La Jolla, 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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