Unknown Individual – General Practice Physician, NPI 1801075155

Unknown Individual is a healthcare provider. based in Pacific palisades, California. specializing in General Practice Physician. They hold a License No. A41398 (CA). The NPI Number for Unknown Individual is 1801075155

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1801075155
Phone
Not provided
Address
15247 W SUNSET BLVD
Deactivation Date
3 April 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

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Provider Addresses for Unknown Individual

  • Sunset Boulevard, Brentwood Park, Brentwood, Los Angeles, Los Angeles County, California, 90049-4013, United States

    SUITE 202

    PACIFIC PALISADES, CA 90272

    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.

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 90272)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1801075155 — the number used across U.S. healthcare to identify this provider.
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 clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to General Practice Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Pacific Palisades, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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