Logan Hurst Loomis, PA-C
NPI 1114531407ActiveIndividual· Physician Assistant· Lake Elsinore, CA
Physician Assistant (PA-C) with Southern California Permanente Medical Group, practicing in Lake Elsinore, California. 24 Medicare patients in 2024, $1,526 paid; nearly all of their 223 Part D prescriptions were generic (99%).
Overview
| NPI | 1114531407 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 3, 2020 |
| Last updated in NPPES | Nov 21, 2022 |
| Certified by provider | Apr 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
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) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 24 |
|---|---|
| Services billed | 32 across 8 procedure codes |
| Paid by Medicare | $1,526 |
Part D prescriptions in 2024
| Prescriptions (claims) | 223 · 223 30-day fills |
|---|---|
| Patients | 124 |
| Total drug cost | $2,055 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Southern California Permanente Medical GroupRedlands, CA · 11,293 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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