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NPI 1063815850ActiveIndividual· Physician Assistant· Loma Linda, CA
Physician Assistant with Faculty Physicians and Surgeons of Llusm, practicing in Loma Linda, California. Part D covered 296 prescriptions written in 2024, 100% of them generic. Boston Scientific Corporation was the largest of 2 companies reporting payments in 2025, $868.18 in all, mostly food and beverage. Lists Loma Linda University Medical Center as a hospital affiliation.
Overview
| NPI | 1063815850 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Oct 7, 2014 |
| Last updated in NPPES | Oct 5, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 52001 | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No 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) | 296 · 303 30-day fills |
|---|---|
| Patients | 162 |
| Total drug cost | $5,009 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Faculty Physicians and Surgeons of LlusmLoma Linda, CA · 1,315 clinicians
Hospital affiliation
- Loma Linda University Medical CenterLoma Linda, CA
Industry payments (Open Payments)
- 2025$868.18 · 33 payments from 2 companies
- 2024$250.19 · 12 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $812.81 | 32 |
| Medtronic, Inc. | $55.37 | 1 |
What the 2025 payments were for
- Food and Beverage$868.18 · 33 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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