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Manivanh M. Baum, PA-C

NPI 1003180191ActiveIndividual· Physician Assistant· Visalia, CA

Physician Assistant (PA-C) in Visalia, California, licensed in CA, with an NPI issued in March 2012. Part D covered 2,952 prescriptions written in 2024, 82% of them generic. Revance Therapeutics, Inc. reported $222.41 in payments in 2025, mostly food and beverage.

Overview

NPI1003180191
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedMar 7, 2012
Last updated in NPPESAug 13, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA22125CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (CA)

Part D prescriptions in 2024

Prescriptions (claims)2,952 · 3,557 30-day fills
Patients202
Total drug cost$209,782
Generic share82% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$222.41 · 6 payments from 1 company
  • 2024$730.68 · 19 payments from 3 companies

Top paying companies in 2025

CompanyAmountPayments
Revance Therapeutics, Inc.$222.416

What the 2025 payments were for

  • Food and Beverage$222.41 · 6 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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