Haleh Dejam, NP
NPI 1275107310ActiveIndividual· Nurse Practitioner, Family· Mission Viejo, CA
Nurse Practitioner, Family (NP) with Providence Medical Foundation and 1 other group, practicing in Mission Viejo, California. 281 Medicare patients in 2024, $24,232 paid; nearly all of their 339 Part D prescriptions were generic (94%). Revance Therapeutics, Inc. was the largest of 5 companies reporting payments in 2025, $517.37 in all, mostly food and beverage. Lists Providence Mission Hospital as a hospital affiliation.
Overview
| NPI | 1275107310 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | May 13, 2021 |
| Last updated in NPPES | May 18, 2022 |
| Certified by provider | May 18, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 95017094 | 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 - Nurse Practitioner (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 281 |
|---|---|
| Services billed | 682 across 19 procedure codes |
| Paid by Medicare | $24,232 |
Part D prescriptions in 2024
| Prescriptions (claims) | 339 · 661 30-day fills |
|---|---|
| Patients | 144 |
| Total drug cost | $14,597 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Providence Medical FoundationVictorville, CA · 1,466 clinicians
- Gateway Rehab and Wellness Center IncMission Viejo, CA · 8 clinicians
Hospital affiliation
- Providence Mission HospitalMission Viejo, CA
Industry payments (Open Payments)
- 2025$517.37 · 11 payments from 5 companies
- 2024$438.99 · 16 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Revance Therapeutics, Inc. | $214.13 | 4 |
| Abbvie Inc. | $99.36 | 4 |
| Lilly USA, LLC | $97.78 | 1 |
| Glaxosmithkline, LLC. | $83.30 | 1 |
| Pfizer Inc. | $22.80 | 1 |
What the 2025 payments were for
- Food and Beverage$517.37 · 11 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 54 family nurse practitioners in Mission Viejo · All family nurse practitioners in California