Unknown Individual – Medical Physician Assistant, NPI 1588711345

Unknown Individual is a healthcare provider. based in Sunnyside, Washington. specializing in Medical Physician Assistant. They hold a License No. PA10000723 (WA). The NPI Number for Unknown Individual is 1588711345

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1588711345
Phone
(509) 839-6822
Address
PO BOX 957
Deactivation Date
4 January 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

  • PO BOX 957

    SUNNYSIDE, WA 989440957

    Phone: (509) 839-6822

    Fax: (509) 839-5913

    Type: Mailing

  • South 11th Street, Sunnyside, Yakima County, Washington, 98944, United States

    SUNNYSIDE, WA 989442243

    Phone: (509) 839-6822

    Fax: (509) 839-5913

    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 98944)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1588711345 on file in the registry.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Sunnyside, Washington as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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