Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1720154586

Unknown Individual is a healthcare provider. based in Ventura, California. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. A157240 (CA). The NPI Number for Unknown Individual is 1720154586

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1720154586
Phone
(805) 650-5910
Address
PO BOX 25420
Deactivation Date
30 March 2022
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

  • PO BOX 25420

    VENTURA, CA 930022277

    Phone: (805) 650-5910

    Fax: (805) 650-5972

    Type: Mailing

  • 2955, East Hillcrest Drive, Thousand Oaks, Ventura County, California, 91362, United States

    #102

    THOUSAND OAKS, CA 913623177

    Phone: (805) 230-3155

    Fax: (805) 230-3153

    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 93002)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1720154586.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Anatomic Pathology & Clinical Pathology Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Ventura, California may find Unknown Individual in results; validate coverage separately.
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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