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Mari Anna Hareyan, PA

NPI 1255004503ActiveIndividual· Physician Assistant· Van Nuys, CA

Physician Assistant (PA) in Van Nuys, California, with an NPI issued in July 2021. Their prescriptions cost Medicare Part D more than their services did: $19,621 for 345 claims, against $10,549 paid for services in 2024.

Overview

NPI1255004503
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorYes
NPI issuedJul 30, 2021
Last updated in NPPESJul 30, 2021
Certified by providerJul 30, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

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 patients56
Services billed120 across 12 procedure codes
Paid by Medicare$10,549

Part D prescriptions in 2024

Prescriptions (claims)345 · 417 30-day fills
Patients85
Total drug cost$19,621
Generic share90% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

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

Other physician assistants in Van Nuys

All 56 physician assistants in Van Nuys · All physician assistants in California