Unknown Individual – Geriatric Medicine (Family Medicine) Physician, NPI 1659614832

Unknown Individual is a healthcare provider. based in Hemet, California. specializing in Geriatric Medicine (Family Medicine) Physician. The NPI Number for Unknown Individual is 1659614832

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1659614832
Phone
(951) 925-2523
Address
1207 E FLORIDA AVE
Deactivation Date
26 July 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1207 E FLORIDA AVE

    HEMET, CA 925434513

    Phone: (951) 925-2523

    Type: Mailing

  • 29826 HAUN RD STE 300

    MENIFEE, CA 925866547

    Phone: (951) 679-7022

    Fax: (888) 379-6223

    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 92543)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1659614832 — is the standard way to identify this listing.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Geriatric Medicine (Family Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Hemet, California in the data we show; additional addresses may exist on the full record.
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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