Unknown Individual – Medical Physician Assistant, NPI 1922083245

Unknown Individual is a healthcare provider. based in Riverside, California. specializing in Medical Physician Assistant. They hold a License No. PA10054 (CA). The NPI Number for Unknown Individual is 1922083245

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1922083245
Phone
(951) 782-3715
Address
3660 ARLINGTON AVE
Deactivation Date
21 June 2023
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

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

    RIVERSIDE, CA 925063912

    Phone: (951) 782-3715

    Fax: (951) 784-3275

    Type: Mailing

  • 7117, Brockton Avenue, Riverside, Riverside County, California, 92506, United States

    RIVERSIDE, CA 925062615

    Phone: (951) 782-3715

    Fax: (951) 784-3275

    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 92506)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1922083245 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What kind of provider is Unknown Individual?
The page reflects Medical Physician Assistant for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Riverside, California because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1922083245. Always confirm identity and privileges with the practice and licensing boards.

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