Unknown Individual – Anesthesiology Physician, NPI 1619952512

Unknown Individual is a healthcare provider. based in Riverside, California. specializing in Anesthesiology Physician. They hold a License No. A67899 (CA). The NPI Number for Unknown Individual is 1619952512

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1619952512
Phone
(951) 686-3575
Address
6969 BROCKTON AVE
Deactivation Date
18 August 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

  • Brockton Avenue, Riverside, Riverside County, California, 92506, United States

    SUITE B

    RIVERSIDE, CA 925063813

    Phone: (951) 686-3575

    Fax: (951) 781-2194

    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.

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 92506)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1619952512?
NPI 1619952512 belongs to Unknown Individual; compare other details if you need extra assurance.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Riverside?
Public fields place Unknown Individual around Riverside, California. Always confirm the exact site before visiting.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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