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NPI 1275313686ActiveIndividual· Physician Assistant· San Bernardino, CA

Physician Assistant in San Bernardino, California, licensed in CA, with an NPI issued in October 2023. 79 Medicare patients in 2024, $7,757 paid; nearly all of their 134 Part D prescriptions were generic (92%). Fisher & Paykel Healthcare Inc reported $21.81 in payments in 2025, mostly food and beverage.

Overview

NPI1275313686
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedOct 3, 2023
Last updated in NPPESOct 5, 2026
Certified by providerOct 5, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X63414CA
Emergency Medicine207P00000XPA63414CA

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 patients79
Services billed114 across 13 procedure codes
Paid by Medicare$7,757

Part D prescriptions in 2024

Prescriptions (claims)134 · 138 30-day fills
Patients102
Total drug cost$2,752
Generic share92% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$21.81 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Fisher & Paykel Healthcare Inc$21.811

What the 2025 payments were for

  • Food and Beverage$21.81 · 1 payment

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

Other physician assistants in San Bernardino

All 86 physician assistants in San Bernardino · All physician assistants in California