Lara Khosrovian
NPI 1093556334ActiveIndividual· Physician Assistant· Pomona, CA
Physician Assistant with R Ajakwe MD and R Tatevossian MD A Professional Medical Corporation, practicing in Pomona, California. Part D covered 26 prescriptions written in 2024, 96% of them generic. Saluda Medical Americas, Inc. was the largest of 4 companies reporting payments in 2025, $202.20 in all, mostly food and beverage. Lists Providence Saint Joseph Medical Ctr as a hospital affiliation.
Overview
| NPI | 1093556334 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 3, 2024 |
| Last updated in NPPES | Sep 22, 2025 |
| Certified by provider | Sep 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 65289 | 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) | Enrolled Practitioner - Physician Assistant (CA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 26 · 26 30-day fills |
|---|---|
| Patients | 18 |
| Total drug cost | $455.62 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- R Ajakwe MD and R Tatevossian MD A Professional Medical CorporationGlendale, CA · 8 clinicians
Hospital affiliation
- Providence Saint Joseph Medical CtrBurbank, CA
Industry payments (Open Payments)
- 2025$202.20 · 6 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Saluda Medical Americas, Inc. | $96.55 | 2 |
| Merit Medical Systems Inc | $48.98 | 1 |
| Globus Medical, Inc. | $37.64 | 2 |
| Spinal Simplicity, LLC | $19.03 | 1 |
What the 2025 payments were for
- Food and Beverage$202.20 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 205 physician assistants in Pomona · All physician assistants in California