Anthony Traboulsi
NPI 1053932160ActiveIndividual· Oral & Maxillofacial Surgery· Loma Linda, CA
Oral & Maxillofacial Surgery in Loma Linda, California, licensed in CA, with an NPI issued in April 2020. Axogen reported $125.61 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1053932160 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 29, 2020 |
| Last updated in NPPES | Apr 9, 2026 |
| Certified by provider | Apr 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Oral & Maxillofacial Surgery Primary | 204E00000X | 105188 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
- 2025$125.61 · 1 payment from 1 company
- 2024$20.39 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Axogen | $125.61 | 1 |
What the 2025 payments were for
- Food and Beverage$125.61 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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