Serena Le, PA
NPI 1184214736ActiveIndividual· Physician Assistant· Fullerton, CA
Physician Assistant (PA) with Providence Medical Foundation, practicing in Fullerton, California. 266 Medicare patients in 2024, $25,368 paid; nearly all of their 996 Part D prescriptions were generic (92%).
Overview
| NPI | 1184214736 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | Yes |
| NPI issued | Jan 18, 2021 |
| Last updated in NPPES | Apr 1, 2022 |
| Certified by provider | Apr 1, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 59224 | 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) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 266 |
|---|---|
| Services billed | 699 across 52 procedure codes |
| Paid by Medicare | $25,368 |
Part D prescriptions in 2024
| Prescriptions (claims) | 996 · 1,009 30-day fills |
|---|---|
| Patients | 630 |
| Total drug cost | $11,195 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Providence Medical FoundationVictorville, CA · 1,466 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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