Anna Manukyan
NPI 1003445768ActiveIndividual· Nurse Practitioner, Primary Care· Glendale, CA
Nurse Practitioner, Primary Care with Southern California Permanente Medical Group, practicing in Glendale, California. Their prescriptions cost Medicare Part D more than their services did: $28,243 for 30 claims, against $144.15 paid for services in 2024. Glaxosmithkline, LLC. reported $56.76 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1003445768 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 5, 2020 |
| Last updated in NPPES | Oct 17, 2023 |
| Certified by provider | Oct 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 95012369 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 13 across 4 procedure codes |
| Paid by Medicare | $144.15 |
Part D prescriptions in 2024
| Prescriptions (claims) | 30 · 33 30-day fills |
|---|---|
| Patients | 22 |
| Total drug cost | $28,243 |
| Generic share | 67% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Southern California Permanente Medical GroupRedlands, CA · 11,293 clinicians
Industry payments (Open Payments)
- 2025$56.76 · 2 payments from 1 company
- 2024$21.01 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $56.76 | 2 |
What the 2025 payments were for
- Food and Beverage$56.76 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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