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Kira Ann Tellache, PHYSICIAN ASSISTANT

NPI 1104441021ActiveIndividual· Physician Assistant· La Mesa, CA

Physician Assistant (PHYSICIAN ASSISTANT) in La Mesa, California, trained at Tufts University School of Medicine (class of 2020). 605 Medicare patients in 2024, $250,453 paid; nearly all of their 667 Part D prescriptions were generic (90%). Abbvie Inc. was the largest of 15 companies reporting payments in 2025, $2,747 in all, mostly food and beverage.

Overview

NPI1104441021
StatusActive
Entity typeIndividual
CredentialPHYSICIAN ASSISTANT
Sole proprietorYes
NPI issuedJun 16, 2020
Last updated in NPPESAug 3, 2022
Certified by providerAug 3, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X57882CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (CA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients605
Services billed5,093 across 89 procedure codes
Paid by Medicare$250,453

Part D prescriptions in 2024

Prescriptions (claims)667 · 729 30-day fills
Patients240
Total drug cost$267,496
Generic share90% of claims

Medicare sources and data years

Education and affiliations

Medical schoolTufts University School of Medicine
Graduation year2020
Medicare specialtyPhysician Assistant

Medical groups

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$2,747 · 93 payments from 15 companies
  • 2024$2,992 · 103 payments from 16 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$2,567 · 91 payments
  • Education$179.25 · 2 payments

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

Other Physician Assistant providers in La Mesa

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